Individual provider Active NPI

Linda Ruvalcaba, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1891237822
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-16211 Issued in AZ
Practice address
2024 N 7TH St Ste 201
Phoenix, AZ 85006
Phone
(480) 582-1870
NPI assigned
Nov 8, 2016
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 LPC-16211 AZ Primary

Addresses

Primary practice location

2024 N 7TH St Ste 201
Phoenix, AZ 85006

Mailing address

PO Box 10601
Phoenix, AZ 85064-0601
Phone (480) 582-1870

Other practice location 1

1840 N 95th Ave
Suite 146
Phoenix, AZ 85037-4444
Phone (623) 234-9827

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 Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-16211AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Therapists Hub LLC Mental Health Current Accepting new patients

Locations

8950 E Germann Rd
Ste 103
Mesa, AZ 85212
Phone (407) 305-2920

16601 N 40th St
Ste 216
Phoenix, AZ 85032
Phone (480) 788-8466

610 S Park Ave
Tucson, AZ 85719
Phone (520) 479-1843

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1891237822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10601",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850640601",
            "telephone_number": "480-582-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 N 7TH ST STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "480-582-1870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 N 95th Ave",
            "address_2": "Suite 146",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850374444",
            "country_code": "US",
            "telephone_number": "623-234-9827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "LINDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.