Individual provider Active NPI

Ruth Mroch McCleery, LMHC

  • Mental Health Counselor
  • Spirit Lake, IA
National Provider Identifier
1881312171
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117683 Issued in IA
Practice address
507 18TH St
Spirit Lake, IA 51360-1552
Phone
(123) 368-1267
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 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 117683 IA Primary

Addresses

Primary practice location

507 18TH St
Spirit Lake, IA 51360-1552

Mailing address

507 18TH St
Spirit Lake, IA 51360-1552
Phone (712) 336-8126

Other names 1

  • Ruth Lynn Mroch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827004904 IA Practitioner - Mental Health Counselor 8628579190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Lincoln Ave
Spirit Lake, IA 51360-1154

507 18TH St
Spirit Lake, IA 51360-1552

540 252ND Ave
Spirit Lake, IA 51360-7166

73244 490TH Ave
Jackson, MN 56143-3783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117683IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Center LLC Mental Health Current Accepting new patients

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1881312171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601552",
            "telephone_number": "712-336-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 18TH ST",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601552",
            "telephone_number": "123-368-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "RUTH",
        "middle_name": "MROCH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "117683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MROCH",
            "middle_name": "LYNN",
            "credential": "RUTH GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.