{"npi":"1093197089","type":"NPI-1","status":"active","name":{"display":"Mrs. Theresa Rust Pcc-S, Lsw, Licdc-Cs","other":[],"first":"THERESA","last":"RUST","middle":"LYNN","credential":"PCC-S, LSW, LICDC-CS"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":false,"state":"OH","license":"981323"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"OH","license":"E 0004070 SUPV"},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"KY","license":"240672"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"KY","license":"240672"},{"code":"104100000X","description":"Social Worker","primary":false,"state":"OH","license":"S 0019424"}]},"addresses":[{"purpose":"LOCATION","street_1":"80 HIGHWAY 2227","city":"SOMERSET","state":"KY","postal_code":"425031562","country_code":"US","phone":"5134752702"},{"purpose":"MAILING","street_1":"80 HIGHWAY 2227","city":"SOMERSET","state":"KY","postal_code":"425031562","country_code":"US","phone":"5134752702"}],"license":{"state":"KY","number":"240672"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0279638","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"7100731970","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240311003468","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"KY","pac_id":"9335500404"},{"enrlmt_id":"I20240913002470","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"OH","pac_id":"9335500404"}]},"enumeration_date":"2015-06-25","last_updated":"2024-11-21","_meta":{"source":"NPPES","snapshot_date":"2024-11-21","doc_url":"https://findmynpi.com/api"}}