Individual provider Active NPI

Heather Lyndsie Ruble, CPRS

  • Addiction (Substance Use Disorder) Counselor
  • Lima, OH
National Provider Identifier
1144713686
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.172830 Issued in OH
Practice address
311 E Market St FL 3
Lima, OH 45801-4535
Phone
(419) 222-4474
Fax
(419) 229-2227
NPI assigned
Jun 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CDCA.172830 OH
Peer Specialist 175T00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.172830 OH Primary

Addresses

Primary practice location

311 E Market St FL 3
Lima, OH 45801-4535

Mailing address

311 E Market St FL 3
Lima, OH 45801-4535
Phone (419) 222-4474

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

LicenseStateTypeSpecialty
CDCA.172830OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Feb 26, 2023 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Feb 26, 2023 Accepting new patients

Locations

311 E Market St
Fl 3
Lima, OH 45801
Phone (419) 222-4474

Organizations & group practices 2

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": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144713686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST FL 3",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-229-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLE",
        "first_name": "HEATHER",
        "middle_name": "LYNDSIE",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "CDCA.172830",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.172830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.