Amy Ehrenfeld Rupert, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO17632 Issued in NC

Practice address

400 Market St Ste 112
Chapel Hill, NC 27516-4028

Phone

(919) 283-8808

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Three Oaks Behavioral Health & Wellness

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1528563194
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1225769805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 112",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MARKET ST STE 112",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164028",
            "telephone_number": "919-283-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 N 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275458506",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Guess Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277011163",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Cloister Ct",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142276",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Hillsboro Street",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "27312",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Washington St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051258",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 Creedmoor Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276124500",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Davie St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276012093",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3708 Lyckan Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072586",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "AMY",
        "middle_name": "EHRENFELD",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO17632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Melanie Rumswinkel
• Jeffrey William Runge, M.D.
• Charles Robert Runstrom
• Alice Marie Runyon, FNP-C
• Meghann Runyon, RN
• Anna Mae Rupp
• Jordan Collin Rush
• Molly Moriarty Rusin, M.D.
• Sarah Megan Russel, MD
• Abigail R Russell

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.