Anne Marie Elena Ruta Buchanan, LPCC686

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC686 Issued in CA

Practice address

17772 Irvine Blvd Ste 102-1
Tustin, CA 92780-3256

Phone

(714) 941-2257

NPI assigned

Oct 2, 2019

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1790326593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S LOWRY ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928695035",
            "telephone_number": "714-941-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 102-1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803256",
            "telephone_number": "714-941-2257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 S Lowry St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928695035",
            "country_code": "US",
            "telephone_number": "714-941-2257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTA BUCHANAN",
        "first_name": "ANNE MARIE",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "LPCC686",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa A Ruelas
• Corinne Margaret Rupert, PH.D., PSY.D.
• John Edward Ruple Jr.
• Mary E Ruppert, D.O.
• Michael Rocky Russo
• Ryan Moyher, Individual and Family Therapy, Inc.
• Caroll Ryan, PH.D.
• Ryan's Reach
• Misty Jan Rydelski, MD
• Ryon Acupuncture Corporation (Ryon Acu Clinic)

• Professional Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.