Ruth Ellen Wilcox, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT15555 Issued in AZ

Practice address

2169 Swanson Ave.
Suite 6
Lake Havasu City, AZ 86403

Phone

(928) 412-5878

NPI assigned

Dec 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ruth Ellen Dusenberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1366771529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 SWANSON AVE.",
            "address_2": "SUITE 6",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-412-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 SWANSON AVE.",
            "address_2": "SUITE 6",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-412-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "RUTH",
        "middle_name": "ELLEN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-17",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45364",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT15555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "DUSENBERRY",
            "middle_name": "ELLEN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew James Wetzel
• Kristy M Whelan, DO
• Thomas Stampfer White
• Megan SK Wiese, MD
• Joni Wiggins
• Floyd Wilks Jr., MD
• Jan Susan Williams, MS LPC
• Lisa Victoria Williams, PA
• Brandy Lee Wilson, LPN
• Tin T Win, M.D.

• Marriage & Family Therapist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.