Rufus Fish III, MA, LPCMHC, LCAS, NC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S12058 Issued in NC

Practice address

1616 North Carolina 68
Oak Ridge, NC 27310

Phone

(336) 252-4975

NPI assigned

Jul 7, 2016

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mindy Kaye Counseling and Coaching PLLC

  • Mental Health Counselor
  • Oak Ridge, NC
  • NPI 1104648054
  Medicare reassignment NPD
• Epilepsy Institute of NC

  • Neurology Physician
  • Winston Salem, NC
  • NPI 1710929088
  NPD (past)
• The Epilepsy Institute of NC

  • Psychologist
  • Winston Salem, NC
  • NPI 1477939213
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1720430382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 WOODVIEW DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086123",
            "telephone_number": "336-601-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 NORTH CAROLINA 68",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "27310",
            "telephone_number": "336-252-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "RUFUS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, LPCMHC, LCAS, NC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "23557",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S12058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Amy Li, PLLC
• Dr. Umabala Pasupala, PLLC
• April H Duggins, RPH.
• Eagle Physicians and Associates PA (Eagle Family Medicine at Oak Ridge)
• First Choice of North Carolina, LLC
• Angela B Ford, PA-C
• Forsyth Memorial Hospital Inc (Novant Health Northwest Family Medicine)
• Beck M Foster, RN
• Erica Halcyon Freve, OTR L
• Robert Fried, MD

• Mental Health Counselor in Oak Ridge, NC
• Providers in Oak Ridge, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.