Individual provider Active NPI

Daniel Rusco

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1588383970
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61288169 Issued in WA
Practice address
9307 Bay Shore Dr NW Ste 304
Silverdale, WA 98383-8219
Phone
(918) 510-8286
NPI assigned
Aug 26, 2022
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61288169 WA Primary

Addresses

Primary practice location

9307 Bay Shore Dr NW Ste 304
Silverdale, WA 98383-8219

Mailing address

8683 NE Fox Den LN
Bainbridge Island, WA 98110-5117
Phone (918) 510-8286

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

LicenseStateTypeSpecialty
MC61288169WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1588383970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8683 NE FOX DEN LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105117",
            "telephone_number": "918-510-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 BAY SHORE DR NW STE 304",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838219",
            "telephone_number": "918-510-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCO",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61288169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.