Individual provider Active NPI

Ruth Pellett Manville, MSW

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1023235033
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
131196-3501 Issued in UT
Practice address
370 E South Temple
Suite #240
Salt Lake City, UT 84111-1206
Phone
(801) 328-8444
Fax
(801) 328-4590
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 131196-3501 UT Primary

Addresses

Primary practice location

370 E South Temple
Suite #240
Salt Lake City, UT 84111-1206

Mailing address

370 E South Temple
Suite #240
Salt Lake City, UT 84111-1206
Phone (801) 328-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20040715000042 UT Practitioner - Clinical Social Worker 1850370743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 E S Temple
Suite 240
Salt Lake City, UT 84111-1262
Phone (801) 328-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth P. Manville, LCSW, PC Clinical CurrentSince Jul 19, 2009 Accepting new patients

Locations

370 E South Temple
Ste 240
Salt Lake City, UT 84111
Phone (801) 328-8444

Organizations & group practices 1

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1023235033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE",
            "address_2": "SUITE #240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111206",
            "telephone_number": "801-328-8444",
            "fax_number": "801-328-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE",
            "address_2": "SUITE #240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111206",
            "telephone_number": "801-328-8444",
            "fax_number": "801-328-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANVILLE",
        "first_name": "RUTH",
        "middle_name": "PELLETT",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "131196-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.