Individual provider Active NPI

Eunisa Leigh Rauschenberg, MS, ATR-BC, LCAT

  • Mental Health Counselor
  • Nyack, NY
National Provider Identifier
1841466166
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000393-1 Issued in NY
Practice address
28 W Broadway
Nyack, NY 10960-2806
Phone
(845) 358-1163
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000393-1 NY Primary
Marriage & Family Therapist 106H00000X 000393-1 NY

Addresses

Primary practice location

28 W Broadway
Nyack, NY 10960-2806

Mailing address

28 W Broadway
Nyack, NY 10960-2806
Phone (845) 358-1163

Other identifiers 2

IdentifierTypeStateIssuer
000393-1OtherNYNEW YORK STATE DEPARTMENT OF EDUCATION/OFFICE OF THE PROFESSIONS
05-220OtherNYART THERAPY CREDENTIALS BOARD

Other names 1

  • Ms. Nisa Leigh Rauschenberg Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000393-1NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1841466166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602806",
            "telephone_number": "845-358-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602806",
            "telephone_number": "845-358-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHENBERG",
        "first_name": "EUNISA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MS, ATR-BC, LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000393-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000393-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF EDUCATION/OFFICE OF THE PROFESSIONS",
            "identifier": "000393-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPY CREDENTIALS BOARD",
            "identifier": "05-220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISA",
            "last_name": "RAUSCHENBERG",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "credential": "MS, ATR-BC, LCAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.