Larry L Rupp, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004488A Issued in IN

Practice address

3040A Windsor CT
Elkhart, IN 46514-5555

Phone

(574) 262-1088

Fax

(574) 262-9516

NPI assigned

Feb 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Larry Rupp, MSW, LCSW, Counseling Services, LLC

  • Clinical Social Worker
  • Elkhart, IN
  • NPI 1609061316
  NPD (past) Authorized official
• Arlen W. Epp Mdiv, MSW, LCSW, Counseling and Coaching Services LLC

  • Clinical Social Worker
  • Elkhart, IN
  • NPI 1023054939
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1114990603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040A WINDSOR CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145555",
            "telephone_number": "574-262-1088",
            "fax_number": "574-262-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040A WINDSOR CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465145555",
            "telephone_number": "574-262-1088",
            "fax_number": "574-262-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "LARRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004488A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200535020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meygan Rudlaff, RBT
• Bryanna M. Ruge, MA
• James David Ruh Jr., DC
• Ashley Dawn Ruiz
• Christine Ankaret Rullo, PAC
• Melonia Sue Russell, LMFT
• RX Optical Laboratories, Inc.
• Viridiana Sabas
• Emily Sabinske
• Muhammad A Saeed, M.D

• Clinical Social Worker in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.