Ruth Evelynn Wortman, REG COUNSELOR CCAPP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1409001120 Issued in CA

Practice address

1219 10TH St
Eureka, CA 95501-2024

Phone

(707) 443-0514

Fax

(707) 442-1191

NPI assigned

Dec 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Humboldt Recovery Center Inc.,

  • Substance Abuse Rehabilitation Facility
  • Eureka, CA
  • NPI 1073023107
  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1811583065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6310",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955026310",
            "telephone_number": "707-443-4237",
            "fax_number": "707-442-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 10TH ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012024",
            "telephone_number": "707-443-0514",
            "fax_number": "707-442-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 11th St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955012028",
            "country_code": "US",
            "telephone_number": "707-444-6262",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "944 N St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955012045",
            "country_code": "US",
            "telephone_number": "707-443-0514",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 L St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011943",
            "country_code": "US",
            "telephone_number": "707-443-4237",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 9th St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011936",
            "country_code": "US",
            "telephone_number": "707-443-4237",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1116 9th St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011936",
            "country_code": "US",
            "telephone_number": "707-443-4237",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 N St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955012047",
            "country_code": "US",
            "telephone_number": "707-269-9566",
            "fax_number": "707-442-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTMAN",
        "first_name": "RUTH",
        "middle_name": "EVELYNN",
        "credential": "REG COUNSELOR CCAPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1409001120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "R1409001120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jim Frank Woolsey
• Toni Word, RN
• Loretta Wordes
• Kiari Layne World Turner, RADT
• Alicia Worth
• Barbara A Wright, MFT
• Carter Randolph Wright, DDS
• Crystal Wright
• Monet Wright
• Molly Hallee Wroten

• Addiction (Substance Use Disorder) Counselor in Eureka, CA
• Providers in Eureka, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.