NPIMap

Individual provider Active NPI

Amy Rusk

  • Counselor
  • Westville, OK
National Provider Identifier
1306168844
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
747 Hwy 59 #4
Westville, OK 74965
Phone
(918) 723-3735
Fax
(918) 723-3730
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

747 Hwy 59 #4
Westville, OK 74965

Mailing address

994 N. Moseley Rd
Colcord, OK 74338
Phone (918) 723-3735

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

Practice roles

OrganizationSpecialtyStatusNew patients
Invicta Counseling CurrentSince Sep 11, 2022 Accepting new patients
Nikki Penn Counseling and Consulting, PLLC Past Accepting new patients
Fundamentals Counseling Services,LLC Past Accepting new patients

Locations

711 S Mount Olive St
Ste 4
Siloam Springs, AR 72761

Organizations & group practices 3

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1306168844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 N. MOSELEY RD",
            "city": "COLCORD",
            "state": "OK",
            "postal_code": "74338",
            "telephone_number": "918-723-3735",
            "fax_number": "918-723-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 HWY 59 #4",
            "city": "WESTVILLE",
            "state": "OK",
            "postal_code": "74965",
            "telephone_number": "918-723-3735",
            "fax_number": "918-723-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSK",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.