MEDICARE: STACY RUSE COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	1041C0700X	Clinical Social Worker
4	171M00000X	Case Manager/Care Coordinator
5	101YM0800X	Mental Health Counselor	71941	TX
6	175T00000X	Peer Specialist
7	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477935310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STACY RUSE COUNSELING PLLC

Provider Business Mailing Address
First Line	:	825 DELAWARE AVE STE 206
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6169
Country	:	US
Telephone Number	:	720-526-8102
Fax Number	:	817-412-7031

Provider Business Practice Location Address
First Line	:	825 DELAWARE AVE STE 206
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6169
Country	:	US
Telephone Number	:	720-526-8102
Fax Number	:	817-412-7031

Authorized Official
Title or Position	:	PSYCHOTHERAPIST/OWNER
Name	:	STACY M RUSE
Credential	:	LPC, NCC
Telephone Number	:	763-370-4777

Provider Enumeration Date	:	06/27/2015
Last Update Date	:	06/14/2022

Similar Medicare Providers

1619369238 — MELISSA KARCH RDN
Practice Location Address:

825 DELAWARE AVE STE 200
LONGMONT, CO
80501-6169

Practice Phone: 720-252-9415
Practice Fax: 720-302-0613

1023565777 — NUTRITION DYNAMIX, LLC
Practice Location Address:

825 DELAWARE AVE STE 200
LONGMONT, CO
80501-6169

Practice Phone: 720-252-9415
Practice Fax: 720-302-0613

1992986889 — LIFE CHIROPRACTIC LLC
Practice Location Address:

825 DELAWARE AVE , SUITE P103
LONGMONT, CO
80501-6169

Practice Phone: 303-678-1979
Practice Fax: 303-678-5577

1730571845 — STACY M RUSE LPCI, NCC, CYI
Practice Location Address:

825 DELAWARE AVE STE 206
LONGMONT, CO
80501-6169

Practice Phone: 720-526-8102
Practice Fax: 817-412-7031

1689157257 — GINA LEE PEREZ BSW
Practice Location Address:

825 DELAWARE AVE # 205
LONGMONT, CO
80501-6169

Practice Phone: 970-305-0948
Practice Fax:

1346856341 — WHITE HORSE HEALTH AND WELLNESS CENTERS, LLC.
Practice Location Address:

825 DELAWARE AVE STE 303C
LONGMONT, CO
80501-6169

Practice Phone: 303-776-0995
Practice Fax:

Directions to “STACY RUSE COUNSELING PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.