Individual provider Active NPI

Ruth Ann Longcor, LMFT

  • Marriage & Family Therapist
  • Plainfield, IN
National Provider Identifier
1487257903
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002133A Issued in IN
Practice address
2680 E Main St Ste 333
Plainfield, IN 46168-2825
Phone
(317) 203-9667
NPI assigned
Nov 18, 2020
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002133A IN Primary

Addresses

Primary practice location

2680 E Main St Ste 333
Plainfield, IN 46168-2825

Mailing address

2680 E Main St Ste 333
Plainfield, IN 46168-2825
Phone (317) 203-9667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruthann@sidebysidem.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35002133AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Side by Side Ministries LLC Marriage & Family Therapist CurrentSince Jun 2, 2024 Accepting new patients
Life Enrichment Counseling Marriage & Family Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

2680 E Main St
Ste 333
Plainfield, IN 46168
Phone (317) 203-9667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1487257903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 333",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682825",
            "telephone_number": "317-203-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 333",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682825",
            "telephone_number": "317-203-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGCOR",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002133A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruthann@sidebysidem.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2680 E Main St Ste 333",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461682825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.