Active NPI
Shelby Ann Ruhlen, LPC
- Professional Counselor
- Kenton, OH
National Provider Identifier
1700308152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 775 E Eliza St
Kenton, OH 43326 - Phone
- (419) 679-1219
- NPI assigned
- Jul 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | C.1800871 | OH | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
775 E Eliza St
Kenton, OH 43326
Mailing address
530 S Main St
Lima, OH 45804-1240
Other practice location 1
200 Harding Ave
Kenton, OH 43326-1669
Phone (419) 673-1286
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 |
|---|---|---|---|
| C.1800871 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1700308152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S MAIN ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458041240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E ELIZA ST",
"city": "KENTON",
"state": "OH",
"postal_code": "43326",
"telephone_number": "419-679-1219"
}
],
"practiceLocations": [
{
"address_1": "200 Harding Ave",
"address_purpose": "LOCATION",
"city": "Kenton",
"state": "OH",
"postal_code": "433261669",
"country_code": "US",
"telephone_number": "419-673-1286",
"fax_number": "419-225-8878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUHLEN",
"first_name": "SHELBY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1800871",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.