Enlightened Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ENLIGHTENED COUNSELING SERVICES LLC

Practice address

419 Wood St
California, PA 15419-1139

Phone

(724) 715-3700

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly S Ruth, MS, CAC, LPCNPI 1598855884

Title

Owner/President

Phone

(184) 322-6789

Specialties & licenses 1

Addresses

Other names 1

• Enlightened Counseling Services LLC Former legal business name

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Sue Ruth, MS,CAC,LPC

  • Professional Counselor
  • Export, PA
  • NPI 1598855884

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1942948658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WOOD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WOOD ST",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191139",
            "telephone_number": "724-715-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "184-322-6789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CAC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enlightened Counseling Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alexandra Eve Coles
• Kayla Shinew Collins, PHD, AT, ROT
• Jodi Deblassio, P.T.
• Kelly Lea Defillippo, BSW
• Jacob Dowe, LAT, ATC
• Brean Rae Ewart Ellsworth, B.A.
• Frances Fayish
• Todd Fleissner, B.A. PSYCHOLOGY
• Zachary Wyatt Fried, ATC
• Jenifer Jo Gallo

• All providers in California, PA
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.