Individual provider Active NPI

Cynthia Lief Ruberg, MS ED, LPCC

  • Mental Health Counselor
  • Westerville, OH
National Provider Identifier
1164561262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E-2675 Issued in OH
Practice address
167 S State St
Ste 110
Westerville, OH 43081-2265
Phone
(614) 865-1612
Fax
(614) 475-0807
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E-2675 OH Primary

Addresses

Primary practice location

167 S State St
Ste 110
Westerville, OH 43081-2265

Mailing address

PO Box 30645
Gahanna, OH 43230-0645
Phone (614) 865-1612

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
Master of Science

State licenses

LicenseStateTypeSpecialty
E-2675OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164561262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30645",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432300645",
            "telephone_number": "614-865-1612",
            "fax_number": "614-475-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S STATE ST",
            "address_2": "STE 110",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812265",
            "telephone_number": "614-865-1612",
            "fax_number": "614-475-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERG",
        "first_name": "CYNTHIA",
        "middle_name": "LIEF",
        "name_prefix": "Mrs.",
        "credential": "MS ED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E-2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.