Individual provider Active NPI

Alexandra R Rusu, MA

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1770009102
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125886 Issued in CA
Practice address
1116 Pine St
Redding, CA 96001-0702
Phone
(530) 782-2248
NPI assigned
Aug 17, 2017
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125886 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X IMF100209 CA

Addresses

Primary practice location

1116 Pine St
Redding, CA 96001-0702

Mailing address

PO Box 492081
Redding, CA 96049-2081
Phone (530) 782-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240422000300 CA Practitioner - Marriage and Family Therapist 2466891650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF100209CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria CurrentSince Feb 7, 2024 Accepting new patients
Redding Rancheria CurrentSince Feb 7, 2024 Accepting new patients
Hill Country Community Clinic Past Accepting new patients
Hill Country Community Clinic Past Accepting new patients

Locations

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1770009102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492081",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492081",
            "telephone_number": "530-782-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 PINE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010702",
            "telephone_number": "530-782-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSU",
        "first_name": "ALEXANDRA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125886",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IMF100209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.