Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Ruth Rakusin, LCPC, ADTR, NCC

Individual provider Professional Counselor · NPI 1093977134

Amy Ruth Rakusin, LCPC, ADTR, NCC is a Mental Health Counselor in Phoenix, Maryland. Qualified in 1982, 44 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
44
Licensed in
MD
In the registry since
2008
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

10 Cross Creek Ct
Phoenix, MD 21131-1000
Phone: (410) 472-3060
Fax: (410) 472-9958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LCO653 (MD)

Record details

NPI number1093977134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , ADTR , NCC
Sole proprietorYes
NPI enumeratedJune 30, 2008
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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