Active NPI
Ruth Pascale-Jones, LMFT
- Mental Health Counselor
- Placerville, CA
National Provider Identifier
1477929115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 103367
- Practice address
- 670 Placerville Dr Ste 2
Placerville, CA 95667 - Phone
- (530) 644-2412
- Fax
- (530) 621-9804
- NPI assigned
- Aug 17, 2015
- Reactivated
- Jun 5, 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 | 103367 | CA | Primary |
Addresses
Primary practice location
670 Placerville Dr Ste 2
Placerville, CA 95667
Mailing address
670 Placerville Dr Ste 2
Placerville, CA 95667-4200
Phone (775) 223-1065
Other practice location 1
2174 5th St
Lincoln, CA 95648-2717
Phone (775) 223-1065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103367 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1477929115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PLACERVILLE DR STE 2",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956674200",
"telephone_number": "775-223-1065",
"fax_number": "916-644-6460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PLACERVILLE DR STE 2",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "95667",
"telephone_number": "530-644-2412",
"fax_number": "530-621-9804"
}
],
"practiceLocations": [
{
"address_1": "2174 5th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "CA",
"postal_code": "956482717",
"country_code": "US",
"telephone_number": "775-223-1065",
"fax_number": "916-644-6460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASCALE-JONES",
"first_name": "RUTH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2018-12-12",
"deactivation_date": "2018-05-15",
"reactivation_date": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "103367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.