MISTY RUSKA BS ICADC NPI 1245906999

NPI Information

  • NPI: 1245906999
  • Provider Name: MISTY RUSKA, BS, ICADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 106 E PARK ST STE 100
    MCCALL, ID
    ZIP 83638
  • Phone: (208) 405-5708

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NPI Details

Misty Ruska, BS, ICADC is an addiction (substance use disorder) counselor in Mccall, ID. Misty Ruska, BS, ICADC NPI is 1245906999. 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:

106 E PARK ST STE 100
MCCALL, ID
ZIP 83638-064
Phone: (208) 405-5708

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)11402IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
146-5601304MEDICAIDIDAHO

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: 11/21/2025

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