Melanie M Rushnock, MS, LPC, NCC, ACS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00571900 Issued in NJ

Practice address

350 Sparta Ave Ste C-2a
Sparta, NJ 07871-1120

Phone

(862) 432-6711

NPI assigned

Feb 9, 2013

Reactivated

Dec 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeside Counseling Associates, LLCGroup PAC ID 0840568754, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1811236946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C-2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C-2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711120",
            "telephone_number": "862-432-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHNOCK",
        "first_name": "MELANIE",
        "middle_name": "M",
        "credential": "MS, LPC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-09",
        "deactivation_date": "2014-01-15",
        "reactivation_date": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00571900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jeanne Rooney, LPC
• Jason Michael Rosien
• Jane Elizabeth Rouilli, RNFA
• Christina Rowe, LPC
• Danah Rumble, LPC
• Grace Russo
• Kristin Gallo Russo, O.D.
• Scott J Ruvo, DDS
• S&D Optical
• Elizabeth M Sadlowski, MSW LCSW

• Counselor in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.

Verify at the official NPI Registry.