Individual provider Active NPI

Molly Piper Rucks, LPCC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1003194192
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
102160 Issued in KY
Practice address
1169 Eastern Pkwy
#2339
Louisville, KY 40217-1417
Phone
(502) 408-3223
Fax
(888) 711-1902
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 102160 KY
Mental Health Counselor 101YM0800X 102160 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy
#2339
Louisville, KY 40217-1417

Mailing address

902 E Jefferson St
Louisville, KY 40206-1620
Phone (502) 741-0059

Other identifiers 1

IdentifierTypeStateIssuer
7100286520MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327000945 KY Practitioner - Mental Health Counselor 2567809494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgehaven, Inc.Group PAC ID 9436122629, 6 clinicians

Practice addresses (Care Compare)

950 S 1St St
Louisville, KY 40203-2202
Phone (502) 585-9444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgehaven, Inc. Mental Health CurrentSince Mar 6, 2024 Accepting new patients
US Psychiatry PLLC PastSince Mar 6, 2024 Accepting new patients

Locations

950 S 1st St
Louisville, KY 40203
Phone (502) 585-9444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24215/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3348/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1003194192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E JEFFERSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061620",
            "telephone_number": "502-741-0059",
            "fax_number": "888-711-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "#2339",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-408-3223",
            "fax_number": "888-711-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKS",
        "first_name": "MOLLY",
        "middle_name": "PIPER",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "102160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "102160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100286520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.