Individual provider Active NPI

Melissa Rust, MS, LPC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1275200479
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017172 Issued in IL
Practice address
3205 N Wilke Rd Ste 112
Arlington Heights, IL 60004-0001
Phone
(847) 456-4792
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017172 IL Primary

Addresses

Primary practice location

3205 N Wilke Rd Ste 112
Arlington Heights, IL 60004-0001

Mailing address

2320 N Nordica Ave Apt 209D
Chicago, IL 60707-2804
Phone (847) 456-4792

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@lighthouseemotionalwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515001227 IL Practitioner - Mental Health Counselor 5496196966 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Patient Centered Care Partners IncGroup PAC ID 8123393576, 2 clinicians

Practice addresses (Care Compare)

Highland Park, IL 60035
Phone (847) 926-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178.017172ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Centered Care Partners Inc CurrentSince Sep 1, 2024 Accepting new patients
Lighthouse Consulting Services of Illinois Inc. Professional CurrentSince Aug 29, 2021 Accepting new patients

Locations

3205 N Wilke Rd
Ste 112
Arlington Heights, IL 60004
Phone (847) 253-9769

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1275200479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N NORDICA AVE APT 209D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072804",
            "telephone_number": "847-456-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 N WILKE RD STE 112",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600040001",
            "telephone_number": "847-456-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "MELISSA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@lighthouseemotionalwellness.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3205 N Wilke Rd Ste 112",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600040001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.