Individual provider Active NPI

Kim A Rusch, MSE, LPC

  • Professional Counselor
  • Crivitz, WI
National Provider Identifier
1376629527
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3255125 Issued in WI
Practice address
519 N US Highway 141
Crivitz, WI 54114-1639
Phone
(715) 330-3738
Fax
(715) 430-2243
NPI assigned
Oct 31, 2006
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 3255125 WI Primary

Addresses

Primary practice location

519 N US Highway 141
Crivitz, WI 54114-1639

Mailing address

W9994 Getaway LN
Crivitz, WI 54114-8236
Phone (920) 321-4002

Other identifiers 1

IdentifierTypeStateIssuer
43565700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240105002970 WI Practitioner - Mental Health Counselor 1254782089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 N US Hwy 141
Crivitz, WI 54114-1639
Phone (715) 330-3738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3255125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Helpful Healing Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1376629527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9994 GETAWAY LN",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541148236",
            "telephone_number": "920-321-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N US HIGHWAY 141",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141639",
            "telephone_number": "715-330-3738",
            "fax_number": "715-430-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "KIM",
        "middle_name": "A",
        "credential": "MSE, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3255125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43565700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crivitz, WI

Sources for this page

Verify at the official NPI Registry.