Active NPI
Ruth E McKinney, LPCC-S, LICDC
- Addiction (Substance Use Disorder) Counselor
- Massillon, OH
National Provider Identifier
1851733315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.141045
- Practice address
- 3545 Lincoln Way E Ste B
Massillon, OH 44646-8624 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Jul 25, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1200105SUPV | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC141045 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.141045 | OH | Primary |
Addresses
Primary practice location
3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Mailing address
4600 Montgomery Rd
Cincinnati, OH 45212-2697
Phone (833) 510-4357
Other practice location 1
412 Lincoln Way E
Massillon, OH 44646-8404
Phone (330) 452-9807
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 |
|---|---|---|---|
| LICDC.141045 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC141045 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E1200105SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commquest Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Commquest Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Brightview, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
-
- Multi-Specialty Clinic/Center
- Canton, OH
- NPI 1730168311
Addiction (Substance Use Disorder)
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1851733315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122697",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 LINCOLN WAY E STE B",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468624",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [
{
"address_1": "412 Lincoln Way E",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446468404",
"country_code": "US",
"telephone_number": "330-452-9807",
"fax_number": "330-452-9808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNEY",
"first_name": "RUTH",
"middle_name": "E",
"credential": "LPCC-S, LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-25",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1200105SUPV",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC141045",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.141045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.