Active NPI
Ruth M Nelson
- Mental Health Counselor
- Silverdale, WA
National Provider Identifier
1649489170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CL 60161161
- Practice address
- 9962 Levin Rd NW
Silverdale, WA 98383-7720 - Phone
- (360) 698-9197
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA207-01-0009524 | WA | |
| Mental Health Counselor | 101YM0800X | CL 60161161 | WA | Primary |
Addresses
Primary practice location
9962 Levin Rd NW
Silverdale, WA 98383-7720
Mailing address
PO Box 3852
Silverdale, WA 98383-3852
Phone (360) 698-9197
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
| License | State | Type | Specialty |
|---|---|---|---|
| CL 60161161 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1649489170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3852",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983833852",
"telephone_number": "360-698-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9962 LEVIN RD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837720",
"telephone_number": "360-698-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RUTH",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "WA207-01-0009524",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CL 60161161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.