Ruth Etchells Siborg LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RUTH ETCHELLS SIBORG LPC LLC

Practice address

100 Linwood Ave
Colchester, CT 06415-1138

Phone

(860) 207-7464

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Ruth Etchells Siborg, LPCNPI 1881139525

Title

Counselor

Phone

(860) 207-7464

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruth Siborg, LPC

  • Professional Counselor
  • Norwich, CT
  • NPI 1881139525
  Medicare reassignment NPD Authorized official
• Melanie Gail Hathaway, LCSW

  • Clinical Social Worker
  • Colchester, CT
  • NPI 1609123934
  NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1629536768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HI LEA FARM RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151779",
            "telephone_number": "860-207-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINWOOD AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151138",
            "telephone_number": "860-207-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH ETCHELLS SIBORG LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "SIBORG",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ETCHELLS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "860-207-7464",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Ann Robinson, PTA
• Joyce Robinson, PA
• Maribel Rodriguez
• Rooted Willow Wellness LLC
• Otto Rothi
• RZ Therapy Solutions PLLC
• Alexandra Anna Sadanowicz, O.D.
• Amy Lynn Senkbeil Sartori, LMFT
• Amy Scheel, DNP, APRN
• Jay Jude Schuder

• Professional Counselor in Colchester, CT
• Providers in Colchester, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.