Active NPI
Ruthie Borrelli
- Counselor
- Charlotte, NC
National Provider Identifier
1124599717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A14390
- Practice address
- 811 Manhasset Rd
Charlotte, NC 28209-4713 - Phone
- (404) 771-8503
- NPI assigned
- Dec 8, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A14390 | NC | Primary |
Addresses
Primary practice location
811 Manhasset Rd
Charlotte, NC 28209-4713
Mailing address
811 Manhasset Rd
Charlotte, NC 28209-4713
Phone (404) 771-8503
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 |
|---|---|---|---|
| A14390 | NC | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1124599717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MANHASSET RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094713",
"telephone_number": "404-771-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MANHASSET RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094713",
"telephone_number": "404-771-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRELLI",
"first_name": "RUTHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-08",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A14390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.