Individual provider Active NPI

Ruth Whitely, PHD, LPC-S, NCC

  • Professional Counselor
  • Greenville, TX
National Provider Identifier
1154614618
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62293 Issued in TX
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

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2808701-01MedicaidTX

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

LicenseStateTypeSpecialty
62293TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TRW Solutions Inc Mental Health CurrentSince Jul 31, 2023 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.

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.

Verify at the official NPI Registry.