Stacy Rust, PLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2024003555 Issued in MO

Practice address

1310 E Kingsley St Ste D
Springfield, MO 65804-7233

Phone

(417) 413-1407

NPI assigned

Jul 16, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1568200434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 W PAGE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E KINGSLEY ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047233",
            "telephone_number": "417-413-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "STACY",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2024003555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Ann Russell, ACAGNP-BC
• Shannon Russell
• Wilburn Russell Jr., LPC
• Mandy L Rust, NP
• Sherri L Rust, MA, LPC
• Zachary Rust
• Jessie L Rutledge, PLPC
• Sally Rutledge, MS, CCC-SLP
• Ryan B Perkins DC LLC
• Frances Ryan

• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.