Active NPI
Ronikaye Rusak, LPC
- Professional Counselor
- Paris, TX
National Provider Identifier
1437153426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16927
- Practice address
- 737 Lamar Ave
Paris, TX 75460-4479 - Phone
- (903) 785-0400
- Fax
- (903) 785-0403
- NPI assigned
- Jun 8, 2005
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16927 | TX | Primary |
Addresses
Primary practice location
737 Lamar Ave
Paris, TX 75460-4479
Mailing address
737 Lamar Ave
Paris, TX 75460-4479
Phone (903) 785-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7164LC | Other | TX | BLUE CROSS BLUE SHIELD |
| 141895601 | Medicaid | TX |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725003096 | TX | Practitioner - Mental Health Counselor | 3870039811 | Practice locations: Paris, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
737 Lamar Ave
Paris, TX 75460-4479
Phone (903) 785-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16927 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1437153426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754604479",
"telephone_number": "903-785-0400",
"fax_number": "903-785-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754604479",
"telephone_number": "903-785-0400",
"fax_number": "903-785-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSAK",
"first_name": "RONIKAYE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7164LC",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141895601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.