Active NPI
Courtney L Ruetz, LMFT
- Marriage & Family Therapist
- Wylie, TX
National Provider Identifier
1275271009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204582
- Practice address
- 303 S Highway 78 Ste 100
Wylie, TX 75098-3957 - Phone
- (469) 342-3468
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204582 | TX | Primary |
Addresses
Primary practice location
303 S Highway 78 Ste 100
Wylie, TX 75098-3957
Mailing address
2316 Malone Dr
McKinney, TX 75072-2964
Phone (214) 878-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 S Hwy 78
Suite 100
Wylie, TX 75098-3957
Phone (469) 342-3468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204582 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCNT Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468
303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468
303 S Highway 78
Ste 103
Wylie, TX 75098
Phone (469) 342-3468
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": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1275271009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 MALONE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750722964",
"telephone_number": "214-878-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S HIGHWAY 78 STE 100",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983957",
"telephone_number": "469-342-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUETZ",
"first_name": "COURTNEY",
"middle_name": "L",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.