Individual provider Active NPI

Cheryl Elizabeth Rushing, LPC-S, PHD

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1710141510
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62340 Issued in TX
Practice address
150 Briarcroft LN
Killeen, TX 76542-5600
Phone
(817) 557-7574
NPI assigned
Jul 11, 2008
Sex
Female
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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 62340 TX
Mental Health Counselor 101YM0800X 62340 TX
Professional Counselor 101YP2500X LPC010082 GA
School Counselor 101YS0200X TX
Professional Counselor 101YP2500X 62340 TX Primary

Addresses

Primary practice location

150 Briarcroft LN
Killeen, TX 76542-5600

Mailing address

150 Briarcroft LN
Killeen, TX 76542-5600
Phone (817) 557-7574

Other practice location 1

425 Rosser Rd
Covington, GA 30016-4180
Phone (817) 557-7574

Other identifiers 1

IdentifierTypeStateIssuer
196873701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240516000123 TX Practitioner - Mental Health Counselor 6608217054 Reassigns benefits to 1 organization
I20240627000061 GA Practitioner - Mental Health Counselor 6608217054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC010082GAMDProfessional Counselor
62340TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 10, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 1

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1710141510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BRIARCROFT LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425600",
            "telephone_number": "817-557-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BRIARCROFT LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425600",
            "telephone_number": "817-557-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Rosser Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300164180",
            "country_code": "US",
            "telephone_number": "817-557-7574",
            "fax_number": "254-572-0848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "CHERYL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "LPC-S, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "62340",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62340",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010082",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196873701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.