Individual provider Active NPI

Ruthann Marie Reim, MA,NCC,LMHC,CPC

  • Mental Health Counselor
  • University Place, WA
National Provider Identifier
1881888576
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003969 Issued in WA
Practice address
4520 Memory LN. West
University Place, WA 98466-1020
Phone
(253) 405-7278
Fax
(253) 203-6030
NPI assigned
Sep 5, 2007
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 LH00003969 WA Primary

Addresses

Primary practice location

4520 Memory LN. West
University Place, WA 98466-1020

Mailing address

4520 Memory LN. West
University Place, WA 98466-1020
Phone (253) 405-7278

Other names 1

  • Mrs. Ruthann Reim McCaffree Former name

Medicare participation

Medicare enrollment files
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 Feb 16, 2024 through Feb 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00003969WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1881888576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 MEMORY LN. WEST",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661020",
            "telephone_number": "253-405-7278",
            "fax_number": "253-203-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 MEMORY LN. WEST",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984661020",
            "telephone_number": "253-405-7278",
            "fax_number": "253-203-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIM",
        "first_name": "RUTHANN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA,NCC,LMHC,CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTHANN",
            "last_name": "MCCAFFREE",
            "middle_name": "REIM",
            "prefix": "MRS.",
            "credential": "MA,NCC,LMHC,CPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.