MR. JOHNATHON RAYMOND RUSH LCSW
NPI 1376111740
Social Worker - Clinical in Fayetteville, NC

Q: What is Johnathon Rush's NPI number?

The NPI number for Johnathon Rush is 1376111740. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Johnathon Rush's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Johnathon Rush was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since June 14, 2021PECOS Enrolled

1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305(910) 759-4852 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jan 28, 2022, Aug 13, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Mr. Johnathon Raymond Rush Lcsw NPPES

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

MR. JOHNATHON RAYMOND RUSH LCSW (NPI 1376111740) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C017313) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376111740

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JOHNATHON RAYMOND RUSHCredential: LCSW

Location Address1248 FORT BRAGG RDFayetteville, NC 28305-4981

Mailing Address3205 Cragburn PlFayetteville, NC 28306-6404 · (513) 267-9002

Phone(910) 759-4852

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 14, 2021

Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1376111740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C017313

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1248 FORT BRAGG RD, Fayetteville, NC 28305

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Secondary Practice Locations 2

Location 13205 Cragburn PlFayetteville, NC 28306-6404 · Phone (513) 267-9002

Location 26885 Cliffdale Rd Ste 202Fayetteville, NC 28314-2834 · Phone (910) 339-0400 · Fax (910) 339-0396

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johnathon Raymond Rush Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254864846

PECOS Enrollment IDI20241105000373

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DR. ROBERT WILLIAM TWADDELL D.C.

Chiropractor

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-9500

MRS. BRENDA GALVIN BOOTH NP

Nurse Practitioner

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 323-0334

MS. OLIVIA JOY AYRE

Physician Assistant

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

VILLAGE FAMILY CARE CENTER PA

Family Medicine

1248 FORT BRAGG RD, SUITE 200
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

DAVID R PARKER MD

Family Medicine

1248 FORT BRAGG RD, SUITE 200
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

CHRISTINE OSTERKAMP MS, RD, LD

Dietitian, Registered

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 978-5401

ROBERT TWADDELL

Durable Medical Equipment & Medical Supplies

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-9511

DR. GEORGE CONSTANTINE PANTELAKOS MD

Family Medicine

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 323-0334

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 Johnathon Rush's NPI number?

The NPI number for Johnathon Rush is 1376111740. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Johnathon Rush located?

Johnathon Rush practices at 1248 Fort Bragg Rd, Fayetteville, NC 28305. The listed phone number is (910) 759-4852.

What is Johnathon Rush's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Johnathon Rush enrolled in Medicare?

Yes. Johnathon Rush is registered in the Medicare PECOS enrollment system.

What insurance does Johnathon Rush accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Johnathon Rush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnathon Rush was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.