MRS. THERESA LYNN RUST PCC-S LSW LICDC-CS NPI 1093197089

NPI Information

NPI: 1093197089
Provider Name: MRS. THERESA LYNN RUST, PCC-S, LSW, LICDC-CS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
6950 COLUMBIA GATEWAY DR
COLUMBIA, MD
ZIP 21046
Phone: (513) 797-7031
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MRS. Theresa Lynn Rust, PCC-S, LSW, LICDC-CS is a mental health counselor in Columbia, MD. MRS. Theresa Lynn Rust, PCC-S, LSW, LICDC-CS NPI is 1093197089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6950 COLUMBIA GATEWAY DR
COLUMBIA, MD
ZIP 21046-706
Phone: (513) 797-7031

The NPI 1093197089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	981323	OHIO	No
2	104100000X	Social Worker		S 0019424	OHIO	No
3	101YM0800X	Counselor	Mental Health	E 0004070 SUPV	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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