Individual provider Active NPI

Danielle Suzanne Rueb, LMHCA

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1013523562
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61076249 Issued in WA
Practice address
225 NW Lindvig Way
Poulsbo, WA 98370-6520
Phone
(360) 649-0222
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61076249 WA Primary

Addresses

Primary practice location

225 NW Lindvig Way
Poulsbo, WA 98370-6520

Mailing address

225 NW Lindvig Way
Poulsbo, WA 98370-6520
Phone (360) 649-0222

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Office Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61076249WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1013523562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706520",
            "telephone_number": "360-649-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706520",
            "telephone_number": "360-649-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEB",
        "first_name": "DANIELLE",
        "middle_name": "SUZANNE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61076249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Office Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mailing Address",
            "address_1": "225 NW Lindvig Way",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983706520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.