Active NPI
Danielle Lee Ruquet, LMHC
- Mental Health Counselor
- Southold, NY
National Provider Identifier
1477023950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 009169
- Practice address
- 44210 RT. 48 North Road
Southold, NY 11971 - Phone
- (631) 294-5299
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 009169 | NY | Primary |
Addresses
Primary practice location
44210 RT. 48 North Road
Southold, NY 11971
Mailing address
7 Chapel PL
East Patchogue, NY 11772-5711
Phone (631) 294-5299
Other practice location 1
13 N Ocean Ave
Patchogue, NY 11772-2001
Phone (631) 294-5299
Other practice location 2
157 N Ocean Ave Ste 1
Patchogue, NY 11772-2016
Phone (631) 504-0125
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009169 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1477023950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CHAPEL PL",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117725711",
"telephone_number": "631-294-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44210 RT. 48 NORTH ROAD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "11971",
"telephone_number": "631-294-5299"
}
],
"practiceLocations": [
{
"address_1": "13 N Ocean Ave",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117722001",
"country_code": "US",
"telephone_number": "631-294-5299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "157 N Ocean Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Patchogue",
"state": "NY",
"postal_code": "117722016",
"country_code": "US",
"telephone_number": "631-504-0125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUQUET",
"first_name": "DANIELLE",
"middle_name": "LEE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "009169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.