Johnathon Raymond Rush, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017313 Issued in NC

Practice address

1248 Fort Bragg Rd
Fayetteville, NC 28305-4981

Phone

(910) 759-4852

NPI assigned

Jun 14, 2021

Last updated

Aug 6, 2025By the provider in NPPES

Sex

Male

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

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Painting Miracles IncGroup PAC ID 3476991332, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Painting Miracles Inc.

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1629851605

  Clinical

  Medicare reassignment Care Compare group NPD
• Inspiring Change PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1982251104

  Clinical

  Medicare reassignment NPD
• Cape Fear Behavioral Health Center LLC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1790062057
  NPD
• Acceptance Pathway Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
  • NPI 1013764281
  NPD (past)
• Ats of North Carolina, LLC

  dba Carolina Treatment Center of Pinehurst

  • Methadone Clinic
  • Pinehurst, NC
  • NPI 1649310152
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1376111740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CRAGBURN PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283066404",
            "telephone_number": "513-267-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283054981",
            "telephone_number": "910-759-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6885 Cliffdale Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142834",
            "country_code": "US",
            "telephone_number": "910-339-0400",
            "fax_number": "910-339-0396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3205 Cragburn Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283066404",
            "country_code": "US",
            "telephone_number": "513-267-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JOHNATHON",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Susan Rumi, MD
• Richard D Runkle Jr., DDS
• Beth Noel Rupp, LCSWA, LCASA
• Laura B. Ruppard
• Kristy Ruscoe
• Sharon Ann Rush, NNP
• Victoria Charlene Rush, LPC
• Tabitha Lynn Russ, MSW, LCSWA
• Jasmyne Russell-Dicker, CPPS
• Ashley Russell-Gray, PA-C

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.