Individual provider Active NPI

Andrea F Ruenger, CSAC, LPC-IT

  • Professional Counselor
  • Carlsbad, NM
National Provider Identifier
1508470220
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2025-0944 Issued in NM
Practice address
1900 Westridge Rd
Carlsbad, NM 88220-3550
Phone
(575) 725-5552
Fax
(575) 725-5552
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4962 WI
Professional Counselor 101YP2500X CTB-2025-0944 NM Primary
Professional Counselor 101YP2500X CTB-2025-0557 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 16450-132 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2023-1006 NM

Addresses

Primary practice location

1900 Westridge Rd
Carlsbad, NM 88220-3550

Mailing address

PO Box 3141
Carlsbad, NM 88221-3141
Phone (575) 725-5552

Other practice location 1

210 E Olin Ave
Madison, WI 53713-1434
Phone (608) 807-1428

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
CTB-2023-1006NMMDAddiction (Substance Use Disorder) Counselor
16450-132WIMDAddiction (Substance Use Disorder) Counselor
CTB-2025-0557NMMDProfessional Counselor
CTB-2025-0944NMMDProfessional Counselor
4962WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1508470220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3141",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882213141",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WESTRIDGE RD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203550",
            "telephone_number": "575-725-5552",
            "fax_number": "575-725-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Olin Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537131434",
            "country_code": "US",
            "telephone_number": "608-807-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUENGER",
        "first_name": "ANDREA",
        "middle_name": "F",
        "credential": "CSAC, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4962",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2025-0944",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2025-0557",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16450-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2023-1006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.