Active NPI
Nancy Ann Rush II, MA,LCSW,LPC,ALPS
- Mental Health Counselor
- Bridgeport, WV
National Provider Identifier
1760568026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CP00453683/513
- Practice address
- 243 W Main St
Progressive Preventive Health Care
Bridgeport, WV 26330-1748 - Phone
- (304) 842-8852
- Fax
- (304) 842-8853
- NPI assigned
- Oct 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CP00453683/513 | WV | Primary |
Addresses
Primary practice location
243 W Main St
Progressive Preventive Health Care
Bridgeport, WV 26330-1748
Mailing address
243 W Main St
Bridgeport, WV 26330-1748
Phone (304) 842-8852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- West Virginia University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
243 W Main St
Bridgeport, WV 26330-1767
Phone (304) 842-8852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00453683/513 | WV | MD | Mental Health Counselor |
| 513 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Preventive Health Care, Inc | Mental Health | Current | Accepting new patients |
Locations
243 W Main St
Bridgeport, WV 26330
Phone (304) 842-8852
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.
-
- Mental Health Counselor
- Bridgeport, WV
- NPI 1982794228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760568026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 W MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301748",
"telephone_number": "304-842-8852",
"fax_number": "304-842-8853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 W MAIN ST",
"address_2": "PROGRESSIVE PREVENTIVE HEALTH CARE",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301748",
"telephone_number": "304-842-8852",
"fax_number": "304-842-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"name_suffix": "II",
"credential": "MA,LCSW,LPC,ALPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "CP00453683/513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.