Amanda Ruzansky, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC011784 Issued in PA

Practice address

20 Clearfield Street
Elizabethville, PA 17023

Phone

(717) 362-8900

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 30, 2024 through Dec 30, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Amanda Ruzansky Counseling, LLC

  • Community/Behavioral Health Agency
  • Middletown, PA
  • NPI 1841944303
  NPD Authorized official
• Susquehanna Psychological Services, LLC

  • Psychologist
  • Elizabethville, PA
  • NPI 1114392552
  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1164064135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 N SPRING ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571946",
            "telephone_number": "717-422-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CLEARFIELD STREET",
            "city": "ELIZABETHVILLE",
            "state": "PA",
            "postal_code": "17023",
            "telephone_number": "717-362-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZANSKY",
        "first_name": "AMANDA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC011784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C.
• PHS Physical Therapy, LLC
• James Robert Prince
• Steven Rodichok
• Benjamin Rothermel
• Bradly Wade Starks, D.O.
• Cynthia Campbell Stauffer, M.S.
• Susquehanna Psychological Services, LLC
• The Kepler Home, Inc.
• Truenorth Wellness Services

• All providers in Elizabethville, PA
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.