Individual provider Active NPI

Katherine Anne Rufle, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Lake Saint Louis, MO
National Provider Identifier
1588948731
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2009018950 Issued in MO
Practice address
2413 S Lakeridge CT
Lake Saint Louis, MO 63367-2523
Phone
(314) 402-7576
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2009018950 MO
Mental Health Counselor 101YM0800X 2009018950 MO
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X 2009018950 MO Primary

Addresses

Primary practice location

2413 S Lakeridge CT
Lake Saint Louis, MO 63367-2523

Mailing address

2413 S Lakeridge CT
Lake Saint Louis, MO 63367-2523
Phone (314) 402-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231202000628 MO Practitioner - Clinical Social Worker 2567810419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000

500 Medical Plaza Dr
Wentzville, MO 63385-3421
Phone (636) 327-1157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009018950MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Bizelli Counseling LLC CurrentSince Jul 1, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Jul 13, 2025 Accepting new patients
SSM Health Care St. Louis CurrentSince Jul 13, 2025 Accepting new patients
Compass Health, Inc CurrentSince Nov 27, 2023 Accepting new patients
Compass Health, Inc Clinical CurrentSince Nov 27, 2023 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1800 Community
#B
Clinton, MO 64735

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430

5933 S Highway 94
Ste 101
Weldon Spring, MO 63304
Phone (636) 345-1106

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1588948731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 S LAKERIDGE CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672523",
            "telephone_number": "314-402-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 S LAKERIDGE CT",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672523",
            "telephone_number": "314-402-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFLE",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2009018950",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2009018950",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009018950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.