NPIMap

Organization Active NPI

Mental Health With Dr Ruth

  • Mental Health Counselor
  • Greenville, TX
National Provider Identifier
1144776956
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
62293 Issued in TX
Legal business name
MENTAL HEALTH WITH DR RUTH
Practice address
5604 Wesley St
Suite 103
Greenville, TX 75402-6326
Phone
(903) 274-4140
Fax
(877) 310-9115
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ruth R Whitely, PHDNPI 1154614618
Title
Owner
Phone
(903) 355-4571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 62293 TX Primary

Addresses

Primary practice location

5604 Wesley St
Suite 103
Greenville, TX 75402-6326

Mailing address

5604 Wesley St
Suite 103
Greenville, TX 75402-6326
Phone (903) 274-4140

Other identifiers 1

IdentifierTypeStateIssuer
2808701-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

5604 Wesley St
Ste 103
Greenville, TX 75402
Phone (903) 274-4140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1144776956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WESLEY ST",
            "address_2": "SUITE 103",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026326",
            "telephone_number": "903-274-4140",
            "fax_number": "877-310-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WESLEY ST",
            "address_2": "SUITE 103",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026326",
            "telephone_number": "903-274-4140",
            "fax_number": "877-310-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH WITH DR RUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "WHITELY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-355-4571",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2808701-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.