Rural Behavioral Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RURAL BEHAVIORAL HEALTH, LLC

Practice address

2212 Ironwood CT
Ames, IA 50014-7872

Phone

(423) 596-1949

Fax

(515) 450-5323

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David William Jolly

Title

Principal

Phone

(423) 596-1949

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1366060584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 IRONWOOD CT",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147872",
            "telephone_number": "423-596-1949",
            "fax_number": "515-450-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 IRONWOOD CT",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147872",
            "telephone_number": "423-596-1949",
            "fax_number": "515-450-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "423-596-1949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkatesh K. Rudrapatna, M.D.
• Taylor Ruehle, LMSW
• Karley Eileen Ruiz-Genovese
• Rachel Rumelhart, OT
• Edward M Ruppert, LISW
• Camryn Russell
• Bailie Ryen
• Taher Said Taher Sabobeh, MD
• Gregory P Sachs, MD
• Safe Harbour Counseling

• Clinical Social Worker in Ames, IA
• Providers in Ames, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.