Active NPI
Ruth L Mann, M.A.
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1447429527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LAC-12409
- Practice address
- 3420 W Peoria Ave
Phoenix, AZ 85029-4607 - Phone
- (602) 548-8508
- Fax
- (602) 841-0236
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- No
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 | LAC-12409 | AZ | Primary |
Addresses
Primary practice location
3420 W Peoria Ave
Phoenix, AZ 85029-4607
Mailing address
3420 W Peoria Ave
Phoenix, AZ 85029-4607
Phone (602) 548-8508
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-12409 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1447429527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 W PEORIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294607",
"telephone_number": "602-548-8508",
"fax_number": "602-841-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 W PEORIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294607",
"telephone_number": "602-548-8508",
"fax_number": "602-841-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "RUTH",
"middle_name": "L",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LAC-12409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.