Individual provider Active NPI

Danielle Lee Ruquet, LMHC

  • Mental Health Counselor
  • Southold, NY
National Provider Identifier
1477023950
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009169 Issued in NY
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

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
009169NYMDPhysician 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.

Verify at the official NPI Registry.