AMY RUTH RAKUSIN LCPC, ADTR, NCC
NPI 1093977134
Counselor - Professional in Phoenix, MD

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
10 CROSS CREEK CT, PHOENIX, MD 21131(410) 472-3060(410) 472-9958 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Ruth Rakusin Lcpc, Adtr, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY RUTH RAKUSIN LCPC, ADTR, NCC (NPI 1093977134) is an individual professional provider in Phoenix, Maryland, licensed in Maryland (LCO653) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093977134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY RUTH RAKUSINCredential: LCPC, ADTR, NCC
Location Address10 CROSS CREEK CTPhoenix, MD 21131-1000
Mailing Address10 Cross Creek CtPhoenix, MD 21131-1000 · (410) 472-3060 · Fax (410) 472-9958
Fax(410) 472-9958
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJune 30, 2008
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
NPI 1093977134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LCO653
10 CROSS CREEK CT, Phoenix, MD 21131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Ruth Rakusin Lcpc, Adtr, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880041086
PECOS Enrollment IDI20231213000324
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
10 CROSS CREEK CT
PHOENIX, MD 21131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Rakusin's NPI number?

The NPI number for Amy Rakusin is 1093977134. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Amy Rakusin located?

Amy Rakusin practices at 10 Cross Creek Ct, Phoenix, MD 21131. The listed phone number is (410) 472-3060.

What is Amy Rakusin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amy Rakusin enrolled in Medicare?

Yes. Amy Rakusin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amy Rakusin was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.