Active NPI
Ruth J. Cohen, M.A., L.M.F.T.
- Marriage & Family Therapist
- Surprise, AZ
National Provider Identifier
1528028529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10219
- Practice address
- 16804 W Palisade Trail LN # 12
Surprise, AZ 85387-7229 - Phone
- (623) 337-3388
- Fax
- (623) 298-2068
- NPI assigned
- Mar 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-32424 | CA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 358988 | CA | |
| Marriage & Family Therapist | 106H00000X | 10219 | AZ | Primary |
Addresses
Primary practice location
16804 W Palisade Trail LN # 12
Surprise, AZ 85387-7229
Mailing address
19920 N Canyon Whisper Dr
Surprise, AZ 85387-7269
Phone (623) 337-3388
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10219 | AZ | MD | Marriage & Family Therapist |
| MFT-32424 | CA | MD | Marriage & Family Therapist |
| 358988 | CA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surprise Behavioral Health LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- ruthcohen@tdh.allscriptsdirect.net
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.
-
- Marriage & Family Therapist
- Surprise, AZ
- NPI 1821237256
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1528028529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19920 N CANYON WHISPER DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853877269",
"telephone_number": "623-337-3388",
"fax_number": "623-322-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16804 W PALISADE TRAIL LN # 12",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853877229",
"telephone_number": "623-337-3388",
"fax_number": "623-298-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "RUTH",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "M.A., L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT-32424",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "358988",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "10219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.