Organization Active NPI

Trauma Solutions Counseling, LLC

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1881422269
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRAUMA SOLUTIONS COUNSELING, LLC
Practice address
348 Miracle Strip Pkwy SW Ste 24
Fort Walton Beach, FL 32548-5263
Phone
(850) 498-6858
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Stacy Rush, LPCNPI 1942849864
Title
Owner
Phone
(808) 726-6404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

348 Miracle Strip Pkwy SW Ste 24
Fort Walton Beach, FL 32548-5263

Mailing address

3576 Moonstone Dr
Navarre, FL 32566-9824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260128001618 FL Part B Supplier - Clinic/Group Practice 6002394434 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Walton Beach, FL

National Provider Directory

National Provider Directory

Locations

348 Miracle Strip Pkwy SW
Ste 24
Fort Walton Beach, FL 32548
Phone (850) 498-6858

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1881422269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 MOONSTONE DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325669824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 24",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485263",
            "telephone_number": "850-498-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA SOLUTIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-726-6404",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.