Individual provider Active NPI

Ruth Ann Homer

  • Mental Health Counselor
  • Princeton, NJ
National Provider Identifier
1477055812
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05650000 Issued in NJ
Practice address
10 Forrestal Rd S Ste 203
Princeton, NJ 08540-6666
Phone
(609) 759-2750
Fax
(609) 919-9700
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00263700 NJ
Mental Health Counselor 101YM0800X 44SC05650000 NJ Primary

Addresses

Primary practice location

10 Forrestal Rd S Ste 203
Princeton, NJ 08540-6666

Mailing address

80 Gateway Blvd Apt 209
Hillsborough, NJ 08844-4560
Phone (908) 906-9449

Other practice location 1

905 Herrontown Rd
Princeton, NJ 08540-1901
Phone (609) 497-3363

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00263700NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Cardiovascular Associates, LLC CurrentSince Feb 6, 2023 Accepting new patients
Vibrant Nutrition & Wellness, LLC Past Accepting new patients

Locations

74 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (848) 200-1699

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477055812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GATEWAY BLVD APT 209",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444560",
            "telephone_number": "908-906-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL RD S STE 203",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406666",
            "telephone_number": "609-759-2750",
            "fax_number": "609-919-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Herrontown Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401901",
            "country_code": "US",
            "telephone_number": "609-497-3363",
            "fax_number": "609-688-3709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00263700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05650000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.