Individual provider Active NPI

Olivia Marie Ruffing, MA, LPC, NCC, ICAADC

  • Professional Counselor
  • Canton, MI
National Provider Identifier
1548601487
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401014927 Issued in MI
Practice address
40690 Reisa LN Apt 201
Canton, MI 48188-1380
Phone
(734) 258-0698
Fax
(734) 423-0233
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014927 MI
Counselor 101Y00000X MHC.LH.61652505 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X C03439 MI
Mental Health Counselor 101YM0800X 6401014927 MI
Mental Health Counselor 101YM0800X MHC.LH.61652505 WA
Professional Counselor 101YP2500X MHC.LH.61652505 WA
Professional Counselor 101YP2500X 6401014927 MI Primary

Addresses

Primary practice location

40690 Reisa LN Apt 201
Canton, MI 48188-1380

Mailing address

40690 Reisa LN Apt 201
Canton, MI 48188-1380
Phone (734) 258-0698

Other practice location 1

10 N Hewitt Rd Ste 1
Ypsilanti, MI 48197-4496
Phone (734) 258-0698

Other identifiers 1

IdentifierTypeStateIssuer
1548601487MedicaidMI

Other names 1

  • Ms. Olivia Marie Cline Former name

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

LicenseStateTypeSpecialty
C03439MIMDAddiction (Substance Use Disorder) Counselor
6401014927MIMDProfessional Counselor
MHC.LH.61652505WAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1548601487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40690 REISA LN APT 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881380",
            "telephone_number": "734-258-0698",
            "fax_number": "734-423-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40690 REISA LN APT 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881380",
            "telephone_number": "734-258-0698",
            "fax_number": "734-423-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 N Hewitt Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481974496",
            "country_code": "US",
            "telephone_number": "734-258-0698",
            "fax_number": "734-423-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFING",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC, ICAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014927",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MHC.LH.61652505",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C03439",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401014927",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.61652505",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MHC.LH.61652505",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548601487",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "CLINE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.