Ruby Vista Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RUBY VISTA THERAPY LLC

Practice address

401 Railroad St Ste 406
Elko, NV 89801-3727

Phone

(775) 389-2700

NPI assigned

Feb 24, 2020

Last updated

Feb 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Koch, LCSWNPI 1497058507

Title

Licensed Clinical Social Worker

Phone

(775) 389-2700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Koch

  • Clinical Social Worker
  • Elko, NV
  • NPI 1497058507
  NPD Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1265066773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2222",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898032222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST STE 406",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013727",
            "telephone_number": "775-389-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY VISTA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "775-389-2700",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Mountain Chiropractic Center, Inc.
• Ruby Mountain Obstetrics and Gynecology (Ruby Mountain OBGYN)
• Ruby Mountain Physical Therapy
• Ruby Mountain Recovery
• Ruby Mountain Resource Center
• William Ruebusch, RPH
• Arturo Ruiz Jr.
• Sonia Ruiz
• Rural Spine Partners LTD
• Lynsey Rushton

• Community/Behavioral Health Agency in Elko, NV
• Providers in Elko, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.