Healthcare Provider Details

I. General information

NPI: 1447180542
Provider Name (Legal Business Name): KASSY RUSH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 CENTRE AVE STE L9
PITTSBURGH PA
15206-3779
US

IV. Provider business mailing address

5831 FORWARD AVE # 1527
PITTSBURGH PA
15217-2301
US

V. Phone/Fax

Practice location:
  • Phone: 412-634-4548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KASSONDRA LOURDES RUSH
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MS, LPC, CRC
Phone: 412-634-4548