Active NPI
Ruth Anne Hickey, LMHC
- Mental Health Counselor
- Lakewood, WA
National Provider Identifier
1750596243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004212
- Practice address
- 12700 Gravelly Lake Dr SW
Lakewood, WA 98498 - Phone
- (253) 582-3992
- Fax
- (253) 582-3992
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00004212 | WA | Primary |
Addresses
Primary practice location
12700 Gravelly Lake Dr SW
Lakewood, WA 98498
Mailing address
7423 North St. SW
Lakewood, WA 98498-5213
Phone (253) 582-3992
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093284 | Other | WA | CIGNA HEALTH PROVIDER# |
| 498536 | Other | WA | VALUE OPTIONS MHS# |
| HI8988 | Other | WA | REGENCE HEALTH PROVIDER# |
| 8907617 | Other | WA | WA L&I VENDOR# |
| 136165 | Other | WA | MHN PIN # |
| 228172 OR 56172 | Other | WA | MAGELLAN VENDOR# |
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 |
|---|---|---|---|
| LH00004212 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750596243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7423 NORTH ST. SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984985213",
"telephone_number": "253-582-3992",
"fax_number": "253-582-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 GRAVELLY LAKE DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98498",
"telephone_number": "253-582-3992",
"fax_number": "253-582-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "RUTH ANNE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00004212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PROVIDER#",
"identifier": "1093284",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS MHS#",
"identifier": "498536",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE HEALTH PROVIDER#",
"identifier": "HI8988",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I VENDOR#",
"identifier": "8907617",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PIN #",
"identifier": "136165",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN VENDOR#",
"identifier": "228172 OR 56172",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.