Active NPI
Patience A Ruffin, EDD
- Mental Health Counselor
- Brentwood, TN
National Provider Identifier
1063681823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4049
- Practice address
- 103 Continental PL Ste 120
Brentwood, TN 37027-1086 - Phone
- (703) 201-6937
- NPI assigned
- Feb 26, 2008
- 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 | 4049 | TN | Primary |
Addresses
Primary practice location
103 Continental PL Ste 120
Brentwood, TN 37027-1086
Mailing address
103 Continental PL Ste 120
Brentwood, TN 37027-1086
Phone (703) 201-6937
Other practice location 1
99 White Bridge Pike Ste 201
Nashville, TN 37205-1450
Phone (703) 201-6937
Other names 1
- Patience Kelly
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.counselingwithpatience.com |
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 |
|---|---|---|---|
| 4049 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Well-Being Services | Past | Accepting new patients |
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.
-
- Case Management Agency
- Detroit, MI
- NPI 1023266947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1063681823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CONTINENTAL PL STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271086",
"telephone_number": "703-201-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CONTINENTAL PL STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271086",
"telephone_number": "703-201-6937"
}
],
"practiceLocations": [
{
"address_1": "99 White Bridge Pike Ste 201",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372051450",
"country_code": "US",
"telephone_number": "703-201-6937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUFFIN",
"first_name": "PATIENCE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.counselingwithpatience.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "103 Continental Pl Ste 120",
"city": "Brentwood",
"state": "TN",
"country_code": "US",
"postal_code": "370271086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PATIENCE",
"last_name": "KELLY",
"credential": "LPC-MHSP, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.