Mary Ellen Carlson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0014899 Issued in CO

Practice address

2205 Rocky Mountain Ave
Unit 302
Loveland, CO 80538-8843

Phone

(253) 394-1054

NPI assigned

Nov 5, 2010

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Ellen Ruetting 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": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1427359561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 ROCKY MOUNTAIN AVE",
            "address_2": "UNIT 302",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388843",
            "telephone_number": "253-394-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 ROCKY MOUNTAIN AVE",
            "address_2": "UNIT 302",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388843",
            "telephone_number": "253-394-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MARY ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60132886",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "0014899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ELLEN",
            "last_name": "RUETTING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia Lorraine Cardenas
• Cardiovascular and Thoracic Group LLC
• Stephen Carleton, LCSW, CAS
• Denise Elaine Carlson, NURSE PRACTITIONER C
• Lisa Carlson, RN, BSN
• John Winslow Carlton, M.D.
• Rebecca Carpenter, LPC
• Marshall Carr
• Hanna Marie Carrell, M.A.
• Ashley Carrera

• Counselor in Loveland, CO
• Providers in Loveland, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.