Active NPI
Karen Rusch, LCSAC, LICS
- Addiction (Substance Use Disorder) Counselor
- Balsam Lake, WI
National Provider Identifier
1184856528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1259-132
- Practice address
- 100 Polk County PLZ
Suite 50
Balsam Lake, WI 54810-9071 - Phone
- (715) 485-8464
- Fax
- (715) 485-8490
- NPI assigned
- Aug 19, 2009
- Last updated
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1259-132 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11781-135 | WI |
Addresses
Primary practice location
100 Polk County PLZ
Suite 50
Balsam Lake, WI 54810-9071
Mailing address
100 Polk County PLZ
Suite 50
Balsam Lake, WI 54810-9071
Phone (715) 485-8464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11781-135 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 1259-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1184856528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 POLK COUNTY PLZ",
"address_2": "SUITE 50",
"city": "BALSAM LAKE",
"state": "WI",
"postal_code": "548109071",
"telephone_number": "715-485-8464",
"fax_number": "715-485-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 POLK COUNTY PLZ",
"address_2": "SUITE 50",
"city": "BALSAM LAKE",
"state": "WI",
"postal_code": "548109071",
"telephone_number": "715-485-8464",
"fax_number": "715-485-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCH",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "LCSAC, LICS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "1259-132",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11781-135",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Balsam Lake, WI
- Polk County Health Dept
- Polk County Health Dept PCC Unit
- Polk County-Dept of Administration (Polk County Health Dept/Healthcheck)
- Polk County-Dept of Administration (Polk County Home Care)
- Nicole A Ruetz, BA LSW
- School District of Unity
- St. Croix Regional Medical Center
- Corby Rae Stark, MA PC
- Nancy Lee Stewart, LSW
- Tjzarn Ventures LLC (Reflections Counseling of Northwest Wisconsin)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.