Ruth B Grambush, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4095 Issued in MN

Practice address

3410 Boulder TRL
Webster, MN 55088-3310

Phone

(651) 395-1791

NPI assigned

Jan 27, 2014

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kairos Therapy Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
  • NPI 1356006290
  NPD Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1609299619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 BOULDER TRL",
            "city": "WEBSTER",
            "state": "MN",
            "postal_code": "550883310",
            "telephone_number": "651-395-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 BOULDER TRL",
            "city": "WEBSTER",
            "state": "MN",
            "postal_code": "550883310",
            "telephone_number": "651-395-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMBUSH",
        "first_name": "RUTH",
        "middle_name": "B",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Helping Hand for Mom LLC (A Helping Hand for Mom)
• Margaret Mary Flicek, CPM, LM
• Madison Rae Goettsch
• Sonja Lynn Kareem Walker, LMFT

• Marriage & Family Therapist in Webster, MN
• Providers in Webster, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.