Active NPI
Hannah Grace Ruggles, LMFT
- Marriage & Family Therapist
- Madison, AL
National Provider Identifier
1417651795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- L595
- Practice address
- 290 Pinehurst Dr
Madison, AL 35758-2029 - Phone
- (256) 202-3890
- NPI assigned
- Mar 29, 2023
- 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 | L595 | AL | Primary |
Addresses
Primary practice location
290 Pinehurst Dr
Madison, AL 35758-2029
Mailing address
109 Claytor LN
Madison, AL 35758-6813
Phone (256) 627-5597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 8, 2025 through Oct 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L595 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1417651795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CLAYTOR LN",
"city": "MADISON",
"state": "AL",
"postal_code": "357586813",
"telephone_number": "256-627-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 PINEHURST DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357582029",
"telephone_number": "256-202-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGLES",
"first_name": "HANNAH",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "L595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.