Ruth Wheller, EDS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1701225 Issued in AR

Practice address

1000 S Caraway Rd Ste 103
Jonesboro, AR 72401-4465

Phone

(870) 530-5739

Fax

(844) 908-2206

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ruth Wheeler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Black Box Counseling and Therapeutic Services

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1578181236
  NPD Authorized official

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1922443993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 POPLAR AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013852",
            "telephone_number": "870-530-5739",
            "fax_number": "844-908-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CARAWAY RD STE 103",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014465",
            "telephone_number": "870-530-5739",
            "fax_number": "844-908-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Pleasant Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724057870",
            "country_code": "US",
            "telephone_number": "870-933-6886 x7442",
            "fax_number": "870-934-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHELLER",
        "first_name": "RUTH",
        "credential": "EDS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1701225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "WHEELER",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ariel Wheeler- Tart
• Courtney S Wheeler, SLP
• Rebecca Wheeler, MHPP
• Tess Wheetley, MHPP
• Vicky Whelchel, APRN
• Joel Whipple, MD
• White River Rural Health Center Inc
• Allison White
• Anthony T White, M.D.
• April White

• Professional Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.