Ruth L Kooiman, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP2939 Issued in MN

Practice address

215 N Cedar St
Bethesda Christian Counseling
Luverne, MN 56156-1626

Phone

(800) 463-4005

Fax

(605) 334-7752

NPI assigned

Aug 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethesda Christian Counseling Midwest IncGroup PAC ID 6608869078, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

Practice roles

Locations

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.

• Bethesda Christian Counseling Midwest, Inc.

  dba Bethesda Christian Counseling

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1376522060

  MN, Psychologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1720080765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SYCAMORE AVE",
            "address_2": "STE 105-3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571101246",
            "telephone_number": "605-334-3739",
            "fax_number": "605-334-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N CEDAR ST",
            "address_2": "BETHESDA CHRISTIAN COUNSELING",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561626",
            "telephone_number": "800-463-4005",
            "fax_number": "605-334-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOIMAN",
        "first_name": "RUTH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Jorgenson-Rentschler, PMHNP-BC
• Robert Stephen Kaczrowski, DDS
• Diane L Kennedy, M.D.
• Adam Hintze Klein, DDS
• David L Knips, CRNA
• Tracy Renae Kramer, P.T.
• Karla Jo Laabs Kruse, MAOTR/L
• Gregory J Kuiper, M.D.
• Margaret Joan Kuiper, M.A.,R.D.,L.D.,
• Kathleen Marie Loosbrock, PTA

• Psychologist in Luverne, MN
• Providers in Luverne, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.