Individual provider Active NPI

Ruthe Feilbert-Willis, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Ridgefield, CT
National Provider Identifier
1609888973
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
003295 Issued in CT
Practice address
25 Chestnut Hill Rd
Ridgefield, CT 06877-1201
Phone
(203) 431-6558
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 003295 CT Primary
Clinical Social Worker 1041C0700X 003295 CT

Addresses

Primary practice location

25 Chestnut Hill Rd
Ridgefield, CT 06877-1201

Mailing address

25 Chestnut Hill Rd
Ridgefield, CT 06877-1201
Phone (203) 431-6558

Other identifiers 7

IdentifierTypeStateIssuer
FR441394OtherCTPIN # GHI
140003295CT01OtherCTBCC/BS CT
R20174OtherCTVALUEOPTIONS, ID
4256449OtherCTAETNA PROVIDER #
003295OtherCTCONNECTICUT LICENSE
108129OtherCTMHN VENDOR
P395133OtherCTOXFORD, PROVIDER #

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
003295CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1609888973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771201",
            "telephone_number": "203-431-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771201",
            "telephone_number": "203-431-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEILBERT-WILLIS",
        "first_name": "RUTHE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "003295",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN # GHI",
            "identifier": "FR441394",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCC/BS CT",
            "identifier": "140003295CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS, ID",
            "identifier": "R20174",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4256449",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "003295",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN VENDOR",
            "identifier": "108129",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD, PROVIDER #",
            "identifier": "P395133",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.