Patriot Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATRIOT COUNSELING SERVICES

Practice address

545 W Sierra St
Portola, CA 96122-8615

Phone

(775) 848-9771

NPI assigned

Mar 5, 2017

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charla Ann Rush, MS, CATC IV, MAC, SANPI 1437415718

Title

President of Agency and Treatment P

Phone

(775) 848-9771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charla Ann Rush

  • Addiction (Substance Use Disorder) Counselor
  • Portola, CA
  • NPI 1437415718
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1114467552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 RIDGE ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961228609",
            "telephone_number": "775-848-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W SIERRA ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961228615",
            "telephone_number": "775-848-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT OF AGENCY AND TREATMENT P",
        "authorized_official_telephone_number": "775-848-9771",
        "authorized_official_credential": "MS, CATC IV, MAC, SA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Kaplove
• Jeanne Kessler, OT
• Kibble Enterprises, Inc. (Portola Village Pharmacy)
• Bruce H Lee, DDS
• Sharon Malotte, M. D.
• Lovsho Phen
• Emilee Ann Pruitt, RN, RCSN
• Kenneth Robinson
• Charla Ann Rush
• Sands Travelers PT, Inc. (Sierra Valley Physical Therapy)

• Community/Behavioral Health Agency in Portola, CA
• Providers in Portola, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.