Individual provider Active NPI

Peter D Ruffini, EDS, MA, LPC, ACS

  • Mental Health Counselor
  • Yardley, PA
National Provider Identifier
1134832736
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00740900 Issued in NJ
Practice address
13 South Dr
Yardley, PA 19067-3101
Phone
(609) 902-8488
NPI assigned
Dec 29, 2022
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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 37PC00740900 NJ Primary

Addresses

Primary practice location

13 South Dr
Yardley, PA 19067-3101

Mailing address

13 South Dr
Yardley, PA 19067-3101
Phone (609) 902-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 9, 2025 through Jul 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00740900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Proven Path Counseling LLC Mental Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1134832736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SOUTH DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673101",
            "telephone_number": "609-902-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673101",
            "telephone_number": "609-902-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFINI",
        "first_name": "PETER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "EDS, MA, LPC, ACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00740900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.