Individual provider Active NPI

Stacy M Ruse, LPCI, NCC, CYI

  • Mental Health Counselor
  • Longmont, CO
National Provider Identifier
1730571845
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71941 Issued in TX
Practice address
825 Delaware Ave Ste 206
Longmont, CO 80501-6169
Phone
(720) 526-8102
Fax
(817) 412-7031
NPI assigned
Feb 26, 2015
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 71941 TX Primary

Addresses

Primary practice location

825 Delaware Ave Ste 206
Longmont, CO 80501-6169

Mailing address

825 Delaware Ave Ste 206
Longmont, CO 80501-6169
Phone (720) 526-8102

Other practice location 1

4380 S Syracuse St Ste 320
Denver, CO 80237-2420
Phone (720) 526-8102

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

LicenseStateTypeSpecialty
71941TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy Ruse Counseling PLLC Mental Health Current Accepting new patients
Stacy Ruse Counseling PLLC Mental Health Current Accepting new patients
Aglow Counseling PLLC Mental Health Current Accepting new patients
Whitney Smith Christian Counseling & Consulting, PLLC Current Accepting new patients

Locations

4380 S Syracuse St
Ste 320
Denver, CO 80237
Phone (303) 578-6336

825 Delaware Ave
Ste 206
Longmont, CO 80501
Phone (720) 526-8102

Organizations & group practices 4

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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1730571845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DELAWARE AVE STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016169",
            "telephone_number": "720-526-8102",
            "fax_number": "817-412-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DELAWARE AVE STE 206",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016169",
            "telephone_number": "720-526-8102",
            "fax_number": "817-412-7031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4380 S Syracuse St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802372420",
            "country_code": "US",
            "telephone_number": "720-526-8102",
            "fax_number": "817-412-7031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSE",
        "first_name": "STACY",
        "middle_name": "M",
        "credential": "LPCI, NCC, CYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.