CHARLA ANN RUSH
NPI 1437415718
Counselor - Addiction (Substance Use Disorder) in Portola, CA

Active since April 11, 2012PECOS Enrolled
545 W SIERRA ST, PORTOLA, CA 96122(775) 848-8834 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charla Ann Rush NPPES

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

CHARLA ANN RUSH (NPI 1437415718) is an individual addiction (substance use disorder) provider in Portola, California, licensed in Nevada (274C) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437415718
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLA ANN RUSH
Location Address545 W SIERRA STPortola, CA 96122-8615
Mailing Address4600 Kietzke Ln, B114Reno, NV 89502-5033 · (775) 848-8834
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 17, 2012
NPI 1437415718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NV · 274C
545 W SIERRA ST, Portola, CA 96122

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charla Ann Rush is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426539149
PECOS Enrollment IDI20260409000057
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.

Community/Behavioral Health
545 W SIERRA ST
PORTOLA, CA 96122

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 Charla Rush's NPI number?

The NPI number for Charla Rush is 1437415718. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Charla Rush located?

Charla Rush practices at 545 W Sierra St, Portola, CA 96122. The listed phone number is (775) 848-8834.

What is Charla Rush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Charla Rush enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charla Rush was last updated on July 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.