Shannon Mary Ruane, M.S., CRC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003801 Issued in PA

Practice address

Land Title BLDG
100 S. Broad Street, Suite 1309
Philadelphia, PA 19110-1023

Phone

(215) 244-0845

NPI assigned

Sep 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

University of North Carolina at Chapel Hill School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1225130727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 HARBOUR DR",
            "address_2": "APT C1",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190207021",
            "telephone_number": "215-244-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAND TITLE BLDG",
            "address_2": "100 S. BROAD STREET, SUITE 1309",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101023",
            "telephone_number": "215-244-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUANE",
        "first_name": "SHANNON",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "M.S., CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018724950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Ruan, PHARMD
• Jordy Ruane Reyes, RN
• Allen Snyder Ruane, D.D.S.
• Brooke Ruane, CRNP
• Julia Ruane, LSW
• David Michael Rub, MD
• John Michael Rubbo, PHARMD
• Martin Rubel, M.D
• Megan Ruben, MD
• Ira George Rubenfeld, M.D.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.