Individual provider Active NPI

Duol Wuow Rut, MA, LIMHP/LPC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1881879195
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2353 Issued in NE
Practice address
650 J St Ste 15
Lincoln, NE 68508-2916
Phone
(402) 433-0052
Fax
(402) 442-0065
NPI assigned
Jan 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2561 NE
Mental Health Counselor 101YM0800X 2353 NE Primary

Addresses

Primary practice location

650 J St Ste 15
Lincoln, NE 68508-2916

Mailing address

650 J St Ste 15
Lincoln, NE 68508-2916
Phone (402) 433-0052

Other identifiers 1

IdentifierTypeStateIssuer
10025496501MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240725003124 NE Practitioner - Mental Health Counselor 3577942614
I20241010000644 AZ Practitioner - Mental Health Counselor 3577942614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2353NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turningpoint Psychotherapy, P.C. Mental Health CurrentSince Apr 9, 2024 Accepting new patients
Pine Lake Behavioral Health, LLC. PastSince Apr 1, 2018 Accepting new patients

Locations

2601 N 3rd St
Ste 108
Phoenix, AZ 85004
Phone (602) 830-8814

650 J St
Ste 15
Lincoln, NE 68508
Phone (402) 433-0052

Organizations & group practices 2

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": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1881879195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 J ST STE 15",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082916",
            "telephone_number": "402-433-0052",
            "fax_number": "402-442-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 J ST STE 15",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082916",
            "telephone_number": "402-433-0052",
            "fax_number": "402-442-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUT",
        "first_name": "DUOL",
        "middle_name": "WUOW",
        "credential": "MA, LIMHP/LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-05",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "2561",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025496501",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.