Ruth Evelyn Ridenhour, L.P.C.-CCDP-D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009012867 Issued in MO

Practice address

1205 Hauck Dr
Rolla, MO 65401-4900

Phone

(573) 578-6479

Fax

(888) 546-8711

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Healing Hearts Counseling LLC

  • Mental Health Counselor
  • Rolla, MO
  • NPI 1861000754
  Medicare reassignment NPD Authorized official
• Southeast Missouri Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1982875407
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1881920213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20005 HIGHWAY CC",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429139",
            "telephone_number": "573-578-6479",
            "fax_number": "888-546-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HAUCK DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014900",
            "telephone_number": "573-578-6479",
            "fax_number": "888-546-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20008 Hwy CC",
            "address_purpose": "LOCATION",
            "city": "Licking",
            "state": "MO",
            "postal_code": "65542",
            "country_code": "US",
            "telephone_number": "573-265-3251 x321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDENHOUR",
        "first_name": "RUTH",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.-CCDP-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "8745",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009012867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliable Home Care Inc
• Reliable Home Care Inc
• Marla M Reppond
• Tim M. Rhoads, D.C.
• Kimberlee Richardson, RN-DIABETES EDUCATOR
• Samantha Jo Ridley, PHARM.D
• Matthew A Rieth I, MD
• Todd G Riggs, DO
• Manuel Rim, PSYD
• Maureen Rise, APRN

• Professional Counselor in Rolla, MO
• Providers in Rolla, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.