Individual provider Active NPI

J Scott Rhule, MA, LCSW, CSAC, ICS

  • Social Worker
  • Beaver Dam, WI
National Provider Identifier
1831204296
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2285 Issued in WI
Practice address
111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Phone
(920) 219-4440
Fax
(920) 219-4553
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11335 WI
Clinical Social Worker 1041C0700X 2284-123 WI
Social Worker 104100000X 2285 WI Primary

Addresses

Primary practice location

111 Warren St Ste 2
Beaver Dam, WI 53916-3084

Mailing address

111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Phone (920) 219-4440

Other identifiers 5

IdentifierTypeStateIssuer
11335-132OtherWICLINICAL SUBSTANCE ABUSE COUNSELOR (CSAC)
40970600MedicaidWI
11644-135OtherWIINDEPENDENT CLINICAL SUPERVISOR (ICS)
2284-123OtherWILCSW LICENSE
32008OtherCALICENSED MARRIAGE AND FAMILY THERAPIST (LMFT) INACTIVE STATUS

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11335WIMDAddiction (Substance Use Disorder) Counselor
2285WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alarus Home Health LLC PastSince Jun 27, 2017 Accepting new patients
Apps Chiropractic and Wellness Center Inc Past Accepting new patients
Achievement Associates, LTD Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1831204296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163084",
            "telephone_number": "920-219-4440",
            "fax_number": "920-219-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WARREN ST STE 2",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163084",
            "telephone_number": "920-219-4440",
            "fax_number": "920-219-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHULE",
        "first_name": "J SCOTT",
        "name_prefix": "Mr.",
        "credential": "MA, LCSW, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2284-123",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SUBSTANCE ABUSE COUNSELOR (CSAC)",
            "identifier": "11335-132",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40970600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT CLINICAL SUPERVISOR (ICS)",
            "identifier": "11644-135",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "2284-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST (LMFT)  INACTIVE STATUS",
            "identifier": "32008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.