Individual provider Active NPI

Robyn Elysia Ruetz, LPC, NCC

  • Mental Health Counselor
  • Arvada, CO
National Provider Identifier
1952931420
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017932 Issued in CO
Practice address
5310 Ward Rd Ste 205
Arvada, CO 80002-1829
Phone
(720) 459-1200
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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.0017932 CO Primary

Addresses

Primary practice location

5310 Ward Rd Ste 205
Arvada, CO 80002-1829

Mailing address

10200 W 44TH Ave Ste 402B
Wheat Ridge, CO 80033-6826
Phone (720) 459-1200

Other practice location 1

10200 W 44th Ave Ste 402B
Wheat Ridge, CO 80033-6826
Phone (720) 459-1200

Other identifiers 1

IdentifierTypeStateIssuer
9000200871MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218003652 CO Practitioner - Mental Health Counselor 3577912443 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counsel by Grace, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

5310 Ward Rd
Ste 205
Arvada, CO 80002
Phone (720) 295-8107

10200 W 44th Ave
Ste 402B
Wheat Ridge, CO 80033
Phone (720) 459-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1952931420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W 44TH AVE STE 402B",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336826",
            "telephone_number": "720-459-1200",
            "fax_number": "719-350-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 WARD RD STE 205",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021829",
            "telephone_number": "720-459-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10200 W 44th Ave Ste 402B",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336826",
            "country_code": "US",
            "telephone_number": "720-459-1200",
            "fax_number": "719-350-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUETZ",
        "first_name": "ROBYN",
        "middle_name": "ELYSIA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200871",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.