Individual provider Active NPI

Kristen Ruis, LCSW

  • Clinical Social Worker
  • Carlisle, PA
National Provider Identifier
1487692133
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015475 Issued in PA
Practice address
100 N Hanover St
Carlisle, PA 17013-2421
Phone
(717) 218-6670
Fax
(717) 218-6671
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X SW010075L PA
Clinical Social Worker 1041C0700X CW015475 PA Primary

Addresses

Primary practice location

100 N Hanover St
Carlisle, PA 17013-2421

Mailing address

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

Other names 1

  • Kristen Gennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080522000244 PA Practitioner - Clinical Social Worker 8921177510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sadler Health Center CorporationGroup PAC ID 4688646573, 15 clinicians

Practice addresses (Care Compare)

100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW010075LPAMDProfessional Counselor
CW015475PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sadler Health Center Corporation CurrentSince Dec 1, 2017 Accepting new patients
Franco Counseling Assoc PC CurrentSince Jan 1, 2020 Accepting new patients
Sadler Health Center Corporation Current Accepting new patients
Sadler Health Center Corporation Past Accepting new patients

Locations

26 State Ave
Ste 101
Carlisle, PA 17013
Phone (717) 243-1896

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1487692133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670",
            "fax_number": "717-218-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132421",
            "telephone_number": "717-218-6670",
            "fax_number": "717-218-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIS",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "SW010075L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GENNETT",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.