Individual provider Active NPI

Virginia Ann Rusy, LPC

  • Professional Counselor
  • Grand Junction, CO
National Provider Identifier
1669870838
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0013044 Issued in CO
Practice address
743 Horizon CT Ste 310-B
Grand Junction, CO 81506-8701
Phone
(970) 241-6023
NPI assigned
Dec 19, 2014
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178006517 IL
Professional Counselor 101YP2500X LPC.0013044 CO Primary

Addresses

Primary practice location

743 Horizon CT Ste 310-B
Grand Junction, CO 81506-8701

Mailing address

743 Horizon CT Ste 310-B
Grand Junction, CO 81506-8701

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
I20240627002763 CO Practitioner - Mental Health Counselor 7719328574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

743 Horizon CT
Suite 310 B
Grand JCT, CO 81506-8701
Phone (970) 361-2088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178006517ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Counseling, LLC Professional CurrentSince May 2, 2024 Accepting new patients
Blue Mountain Counseling,LLC Professional Past Accepting new patients

Locations

743 Horizon Ct
Ste 310B
Grand Junction, CO 81506
Phone (970) 361-2088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1669870838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 310-B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 310-B",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068701",
            "telephone_number": "970-241-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSY",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006517",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.