Active NPI
Ruth Whitely, PHD, LPC-S, NCC
- Professional Counselor
- Greenville, TX
National Provider Identifier
1154614618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62293
- Practice address
- 301 Interstate Highway 30 Ste 100
Greenville, TX 75402-4512 - Phone
- (903) 274-4140
- Fax
- (877) 310-9115
- NPI assigned
- May 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 62293 | TX | |
| Mental Health Counselor | 101YM0800X | 62293 | TX | |
| Professional Counselor | 101YP2500X | 62293 | TX | Primary |
Addresses
Primary practice location
301 Interstate Highway 30 Ste 100
Greenville, TX 75402-4512
Mailing address
PO Box 377
Greenville, TX 75403-0377
Phone (903) 274-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2808701-01 | Medicaid | TX |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62293 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TRW Solutions Inc | Mental Health | Current | Accepting new patients |
Locations
301 Interstate Highway 30
Ste 100
Greenville, TX 75402
Phone (903) 274-4140
5604 Wesley St
Ste 103
Greenville, TX 75402
Phone (903) 274-4140
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.
-
- Mental Health Counselor
- Greenville, TX
- NPI 1336656750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1154614618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 377",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754030377",
"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": "301 INTERSTATE HIGHWAY 30 STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754024512",
"telephone_number": "903-274-4140",
"fax_number": "877-310-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITELY",
"first_name": "RUTH",
"credential": "PHD, LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "62293",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62293",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"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 Jul 27, 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.