Charla Ann Rush

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

274C Issued in NV

Practice address

545 W Sierra St
Portola, CA 96122-8615

Phone

(775) 848-8834

NPI assigned

Apr 11, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 TX

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

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reno Sparks Indian ColonyGroup PAC ID 6507761897, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reno Sparks Indian Colony

  dba reno sparks tribal health center

  • Clinic/Center
  • Reno, NV
  • NPI 1497700801

  TX

  Medicare reassignment Care Compare group NPD (past)
• Patriot Counseling Services

  • Community/Behavioral Health Agency
  • Portola, CA
  • NPI 1114467552
  NPD (past) Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1437415718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "B114",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-848-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W SIERRA ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961228615",
            "telephone_number": "775-848-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "CHARLA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "274C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Malotte, M. D.
• Patriot Counseling Services
• Lovsho Phen
• Emilee Ann Pruitt, RN, RCSN
• Kenneth Robinson
• Sands Travelers PT, Inc. (Sierra Valley Physical Therapy)
• Martin Luke Sanford, D.C.
• Sharon A. Schmidt
• Angel Rose Sharp, IBCLC
• Sierra Charters LLC (Sierra Charters)

• Addiction (Substance Use Disorder) Counselor in Portola, CA
• Providers in Portola, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.