Individual provider Active NPI

Nik J Ruthless, LCMHC

  • Mental Health Counselor
  • Wilkesboro, NC
National Provider Identifier
1780242271
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1022 River St Ste a
Wilkesboro, NC 28697-2760
Phone
(828) 278-8218
NPI assigned
May 30, 2019
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 Primary

Addresses

Primary practice location

1022 River St Ste a
Wilkesboro, NC 28697-2760

Mailing address

1022 River St Ste a
Wilkesboro, NC 28697-2760
Phone (828) 278-8218

Other practice location 1

895 State Farm Rd Ste 507-5
Boone, NC 28607-4917
Phone (828) 278-8218

Other names 1

  • Nik Stancil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15668CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fathom Counseling, PLLC Mental Health CurrentSince Sep 14, 2025 Accepting new patients
Prospect Family Therapy, a Professional Corporation Mental Health PastSince Feb 4, 2024 Accepting new patients

Locations

1022 River St
Ste A
Wilkesboro, NC 28697
Phone (828) 278-8218

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1780242271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 RIVER ST STE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972760",
            "telephone_number": "828-278-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 RIVER ST STE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972760",
            "telephone_number": "828-278-8218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 State Farm Rd Ste 507-5",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286074917",
            "country_code": "US",
            "telephone_number": "828-278-8218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTHLESS",
        "first_name": "NIK",
        "middle_name": "J",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIK",
            "last_name": "STANCIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.