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

Mikayla Nicole Rush, LPC

Individual provider Professional Counselor · NPI 1720771900

Mikayla Nicole Rush, LPC is a Mental Health Counselor in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

360 E Beltline Ave NE
Grand Rapids, MI 49506-1214
Phone: (616) 805-3660
Fax: (616) 805-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401225704 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401225704 (MI)

Record details

NPI number1720771900
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 1, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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