Stacy M Rush, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A15416 Issued in NC

Practice address

120 Cypress Landing Dr
Moyock, NC 27958-2500

Phone

(808) 726-6404

NPI assigned

Dec 23, 2019

Last updated

Aug 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

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, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trauma Solutions Counseling, LLC

  • Mental Health Counselor
  • Fort Walton Beach, FL
  • NPI 1881422269
  Medicare reassignment NPD Authorized official
• Trauma Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Navarre, FL
  • NPI 1013793553
  NPD Authorized official

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1942849864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 TAYLOR POINTE BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366957732",
            "telephone_number": "252-200-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CYPRESS LANDING DR",
            "city": "MOYOCK",
            "state": "NC",
            "postal_code": "279582500",
            "telephone_number": "808-726-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "STACY",
        "middle_name": "M",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Richardson
• Tristen Roberts
• Alisha Robinson
• Allison Marie Kim Rolfe, LCSWA
• Joel Roman
• Kaile Sager
• Christine Theresa Scherer, PA-C
• Stephen Kenneth Senn
• Sentara Medical Group (Currituck Internal Medicine & General Practice)
• Sentara Medical Group (Sentara Family & Internal Medicine Physicians)

• Mental Health Counselor in Moyock, NC
• Providers in Moyock, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.