Organization Active NPI

Rustad Counseling, LLC

  • Social Worker
  • College Place, WA
National Provider Identifier
1336827914
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
RUSTAD COUNSELING, LLC
Practice address
56 N College Ave Unit 2
College Place, WA 99324-1048
Phone
(509) 730-9894
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Natasha Rustad, LICSW, LCSWNPI 1871676445
Title
Owner/Provider
Phone
(509) 730-9894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

56 N College Ave Unit 2
College Place, WA 99324-1048

Mailing address

PO Box 3192
Walla Walla, WA 99362-0366
Phone (509) 730-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230929000230 WA Part B Supplier - Clinic/Group Practice 7517311210 Receives reassigned benefits from 1 practitioner
Practice locations: College Place, WA

National Provider Directory

National Provider Directory

Locations

56 N College Ave
Unit 2
College Place, WA 99324
Phone (509) 350-2505

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1336827914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3192",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620366",
            "telephone_number": "509-730-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N COLLEGE AVE UNIT 2",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241048",
            "telephone_number": "509-730-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTAD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "RUSTAD",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-730-9894",
        "authorized_official_credential": "LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.