Individual provider Active NPI

Natalie Ruvola

  • Mental Health Counselor
  • Lawrence, MA
National Provider Identifier
1689915803
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12 Methuen St
2
Lawrence, MA 01840-1700
Phone
(978) 620-1250
Fax
(978) 682-9333
NPI assigned
Mar 13, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12 Methuen St
2
Lawrence, MA 01840-1700

Mailing address

12 Methuen St
2
Lawrence, MA 01840-1700
Phone (978) 620-1250

Other identifiers 1

IdentifierTypeStateIssuer
1154302586MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250605000386 NY Practitioner - Mental Health Counselor 6204345788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
365 Mental Health Counseling PLLC Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Northeast Behavioral Health Past Accepting new patients

Locations

333 W Commercial St
East Rochester, NY 14445
Phone (208) 421-0568

79 Main St
Port Washington, NY 11050
Phone (844) 469-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1689915803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "address_2": "2",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401700",
            "telephone_number": "978-620-1250",
            "fax_number": "978-682-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 METHUEN ST",
            "address_2": "2",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401700",
            "telephone_number": "978-620-1250",
            "fax_number": "978-682-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVOLA",
        "first_name": "NATALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154302586",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.