Individual provider Active NPI

Benjamin Alan Rucker, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1780264101
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61531529 Issued in WA
Practice address
2624 N Division St # 1009
Spokane, WA 99207-2129
Phone
(612) 799-5707
Fax
(971) 369-9478
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH61531529 WA Primary

Addresses

Primary practice location

2624 N Division St # 1009
Spokane, WA 99207-2129

Mailing address

2624 N Division St # 1009
Spokane, WA 99207-2129
Phone (612) 799-5707

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
LH61531529WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Resilience Counseling, PLLC Mental Health Current Accepting new patients

Locations

2624 N Division St
Spokane, WA 99207
Phone (509) 850-0112

Organizations & group practices 1

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1780264101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 N DIVISION ST # 1009",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072129",
            "telephone_number": "612-799-5707",
            "fax_number": "971-369-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 N DIVISION ST # 1009",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072129",
            "telephone_number": "612-799-5707",
            "fax_number": "971-369-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "BENJAMIN",
        "middle_name": "ALAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61531529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.