Individual provider Active NPI

Amanda Dawn Rusco, MS LPC

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1518504208
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018497 Issued in CO
Practice address
20016 E 62ND PL
Aurora, CO 80019-2208
Phone
(405) 436-9275
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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 LPC.0018497 CO Primary

Addresses

Primary practice location

20016 E 62ND PL
Aurora, CO 80019-2208

Mailing address

20016 E 62ND PL
Aurora, CO 80019-2208
Phone (405) 436-9275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20231228003576 CO Practitioner - Mental Health Counselor 2466802764 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC.0018497COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Mile High Treatment and Recovery Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

14707 E 2nd Ave
Ste 230
Aurora, CO 80011
Phone (302) 244-7419

1230 Tenderfoot Hill Rd
Ste 305
Colorado Springs, CO 80906
Phone (719) 203-2014

6310 E Exposition Ave
Denver, CO 80224
Phone (303) 320-1630

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1518504208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20016 E 62ND PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800192208",
            "telephone_number": "405-436-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20016 E 62ND PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800192208",
            "telephone_number": "405-436-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCO",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.