Individual provider Active NPI

Elizabeth Ruggiero, PHD, LPC, LMFT

  • Marriage & Family Therapist
  • Branson, MO
National Provider Identifier
1699966697
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
A04122007 Issued in AR
Practice address
1908 Miller Dr
Branson, MO 65616-2121
Phone
(501) 400-6570
NPI assigned
Aug 5, 2007
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0807061 AR
Marriage & Family Therapist 106H00000X A04122007 AR Primary

Addresses

Primary practice location

1908 Miller Dr
Branson, MO 65616-2121

Mailing address

1908 Miller Dr
Branson, MO 65616-2121
Phone (501) 400-6570

Other names 1

  • Dr. Elizabeth Ruggiero Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260417001444 MO Practitioner - Mental Health Counselor 4981170859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

2055 Craigshire Dr
Suite 417
Saint Louis, MO 63146-4012
Phone (240) 200-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0807061ARMDProfessional Counselor
A04122007ARMDMarriage & Family Therapist

Organizations & group practices 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1699966697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 MILLER DR",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162121",
            "telephone_number": "501-400-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 MILLER DR",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162121",
            "telephone_number": "501-400-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0807061",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "A04122007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "RUGGIERO",
            "prefix": "DR.",
            "credential": "PHD, LPC, LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.