Individual provider Active NPI

Michael Ruguleiski, LPC

  • Mental Health Counselor
  • Columbia, SC
National Provider Identifier
1730888678
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7934 Issued in SC
Practice address
3800 Forest Dr Ste A205
Columbia, SC 29204-4146
Phone
(803) 542-9603
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 7934 SC Primary

Addresses

Primary practice location

3800 Forest Dr Ste A205
Columbia, SC 29204-4146

Mailing address

246 Columbia Club Dr E
Blythewood, SC 29016-9479
Phone (803) 240-1967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250407002205 SC Practitioner - Mental Health Counselor 1456875996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3800 Forest Dr
Suite A205
Columbia, SC 29204-4146
Phone (803) 542-9603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7934SCMDMental Health Counselor
9506SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mr Therapy Mental Health CurrentSince Feb 4, 2025 Accepting new patients
Lucerna Behavioral Health CurrentSince Mar 5, 2023 Accepting new patients

Locations

3800 Forest Dr
Ste A205
Columbia, SC 29204
Phone (803) 542-9603

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1730888678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 COLUMBIA CLUB DR E",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290169479",
            "telephone_number": "803-240-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FOREST DR STE A205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044146",
            "telephone_number": "803-542-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGULEISKI",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.