Individual provider Active NPI

Claudette Marie Ruehl, LC-ADC

  • Addiction (Substance Use Disorder) Counselor
  • Prince Frederick, MD
National Provider Identifier
1437755642
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA2960 Issued in MD
Practice address
975 Solomons Island Rd N
Prince Frederick, MD 20678-3917
Phone
(877) 467-5628
Fax
(410) 414-8092
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA2960 MD Primary

Addresses

Primary practice location

975 Solomons Island Rd N
Prince Frederick, MD 20678-3917

Mailing address

145 Gertrude Dr
Sunderland, MD 20689-9320
Phone (301) 704-6933

Other practice location 1

145 Gertrude Dr
Sunderland, MD 20689-9320
Phone (301) 704-6933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCA2960MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1437755642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GERTRUDE DR",
            "city": "SUNDERLAND",
            "state": "MD",
            "postal_code": "206899320",
            "telephone_number": "301-704-6933",
            "fax_number": "240-823-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SOLOMONS ISLAND RD N",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783917",
            "telephone_number": "877-467-5628",
            "fax_number": "410-414-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Gertrude Dr",
            "address_purpose": "LOCATION",
            "city": "Sunderland",
            "state": "MD",
            "postal_code": "206899320",
            "country_code": "US",
            "telephone_number": "301-704-6933",
            "fax_number": "240-823-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEHL",
        "first_name": "CLAUDETTE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LC-ADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.