Individual provider Active NPI

Ruth Perry Racz, LPC

  • Mental Health Counselor
  • Andalusia, AL
National Provider Identifier
1073970596
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3498 Issued in AL
Practice address
19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone
(334) 222-2523
Fax
(334) 222-4660
NPI assigned
Jan 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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 3498 AL Primary

Addresses

Primary practice location

19815 Bay Branch Rd
Andalusia, AL 36420-9234

Mailing address

19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone (334) 222-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250417003476 AL Practitioner - Mental Health Counselor 6305361718 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
South Central Alabama Mental Health Board IncGroup PAC ID 7517856024, 8 clinicians

Practice addresses (Care Compare)

19815 Bay Branch Rd
Andalusia, AL 36420-9234
Phone (334) 222-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3498ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Alabama Mental Health Board Inc CurrentSince Mar 14, 2025 Accepting new patients

Locations

820 S Three Notch St
Ste B
Andalusia, AL 36420
Phone (334) 222-2485

19815 Bay Branch Rd
Andalusia, AL 36420
Phone (334) 222-2523

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": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1073970596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234",
            "telephone_number": "334-222-2523",
            "fax_number": "334-222-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19815 BAY BRANCH RD",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364209234",
            "telephone_number": "334-222-2523",
            "fax_number": "334-222-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZ",
        "first_name": "RUTH",
        "middle_name": "PERRY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.