Individual provider Active NPI

Nicole Ruston, MS, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1902369051
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61096513 Issued in WA
Practice address
4501 15TH Ave S Ste 102
Seattle, WA 98108-1874
Phone
(808) 721-4175
Fax
(206) 267-0668
NPI assigned
Apr 6, 2019
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X 61096513 WA Primary

Addresses

Primary practice location

4501 15TH Ave S Ste 102
Seattle, WA 98108-1874

Mailing address

4501 15TH Ave S Ste 102
Seattle, WA 98108-1874
Phone (808) 721-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61096513WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ruston Therapy PLLC Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Compass Health Past Accepting new patients

Locations

4501 15th Ave S
Ste 102
Seattle, WA 98108
Phone (206) 552-8857

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, 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": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1902369051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "808-721-4175",
            "fax_number": "206-267-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081874",
            "telephone_number": "808-721-4175",
            "fax_number": "206-267-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTON",
        "first_name": "NICOLE",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61096513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.