Elizabeth Rupisan I, LCSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-2068 Issued in NV

Practice address

5288 Marsh Butte St
Las Vegas, NV 89148-1624

Phone

(702) 405-8088

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1619685179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5288 MARSH BUTTE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5288 MARSH BUTTE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481624",
            "telephone_number": "702-405-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPISAN",
        "first_name": "ELIZABETH",
        "name_suffix": "I",
        "credential": "LCSW-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@changingmindspsych.com",
            "affiliation": "N",
            "endpointDescription": "Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5288 Marsh Butte St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891481624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Antoinette Runyan, LCSW
• Alec Chase Runyon
• Sarah Runyon, CPC-INTERN
• Michelle Rupe
• Joann Laura Rupiper, RN
• Victor F Rupisan
• Angela Rupp, RN
• Eulala Rupp
• Gregory Rupp, PT, DPT
• Kelly L Rupp, LCSW LIMHP

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.