Active NPI
Terrell Montae Rush
- Social Worker
- Charleston, WV
National Provider Identifier
1376406041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- AP00946220
- Practice address
- 607 Wyoming St
Charleston, WV 25302-1813 - Phone
- (681) 945-4255
- NPI assigned
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | AP00946220 | WV | Primary |
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X |
Addresses
Primary practice location
607 Wyoming St
Charleston, WV 25302-1813
Mailing address
607 Wyoming St
Charleston, WV 25302-1813
Phone (681) 945-4255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00946220 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1376406041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WYOMING ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021813",
"telephone_number": "681-945-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 WYOMING ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021813",
"telephone_number": "681-945-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "TERRELL",
"middle_name": "MONTAE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "AP00946220",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.