Active NPI
Ruthann Fogleman, LMHC
- Mental Health Counselor
- Largo, FL
National Provider Identifier
1063510600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10916
- Practice address
- 1614 Palm Way
Largo, FL 33771-3926 - Phone
- (727) 362-4266
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10916 | FL | Primary |
Addresses
Primary practice location
1614 Palm Way
Largo, FL 33771-3926
Mailing address
1614 Palm Way
Largo, FL 33771-3926
Phone (727) 362-4266
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH10916 | FL | MD | Mental Health Counselor |
Interoperability endpoints
- https://epicproxy.et1284.epichosted.com/FHIRProxy/api/FHIR/R4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1063510600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 PALM WAY",
"city": "LARGO",
"state": "FL",
"postal_code": "337713926",
"telephone_number": "727-362-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 PALM WAY",
"city": "LARGO",
"state": "FL",
"postal_code": "337713926",
"telephone_number": "727-362-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLEMAN",
"first_name": "RUTHANN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.