Individual provider Active NPI

Bethany Lee Rugan, LMHCA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1912515941
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61081721 Issued in WA
Practice address
222 W Mission Ave Ste 122
Spokane, WA 99201-2345
Phone
(509) 842-0067
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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 MC61081721 WA Primary

Addresses

Primary practice location

222 W Mission Ave Ste 122
Spokane, WA 99201-2345

Mailing address

2601 N Barker Rd TRLR 58
Spokane Valley, WA 99027-9542
Phone (509) 558-0531

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

State licenses

LicenseStateTypeSpecialty
MC61081721WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Informed Therapies PastSince Jul 27, 2020 Accepting new patients
A Refuge: Trauma Informed Therapies, a Nonprofit Organization Mental Health PastSince Jul 27, 2020 Accepting new patients

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1912515941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N BARKER RD TRLR 58",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990279542",
            "telephone_number": "509-558-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 122",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012345",
            "telephone_number": "509-842-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGAN",
        "first_name": "BETHANY",
        "middle_name": "LEE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61081721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.