Active NPI
Latisa Rush
- Professional Counselor
- Lancaster, CA
National Provider Identifier
1821363748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7581
- Practice address
- 44443 10TH St W
Lancaster, CA 93534-3346 - Phone
- (323) 888-9191
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7581 | CA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
44443 10TH St W
Lancaster, CA 93534-3346
Mailing address
44443 10TH St W
Lancaster, CA 93534-3346
Phone (323) 888-9191
Other practice location 1
1011 Goodrich Blvd
Commerce, CA 90022-5102
Phone (323) 888-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- latisarush-tarzanatc@lacsapc.netsmartdirect.net
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1821363748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44443 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343346",
"telephone_number": "323-888-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44443 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343346",
"telephone_number": "323-888-9191"
}
],
"practiceLocations": [
{
"address_1": "1011 Goodrich Blvd",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900225102",
"country_code": "US",
"telephone_number": "323-888-9191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSH",
"first_name": "LATISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "7581",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.