Ruby Marie Hartshorn, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2102269-SUPV Issued in OH

Practice address

3745 Whipple Ave NW
Canton, OH 44718-4805

Phone

(303) 331-7506

Fax

(234) 285-6767

NPI assigned

May 30, 2012

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 identifiers 1

Other names 1

• Ruby Marie Watts Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Avo Behavioral Health LLCGroup PAC ID 6406265735, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avo Behavioral Health LLC

  • Multi-Specialty Clinic/Center
  • Canton, OH
  • NPI 1619590882

  Mental Health

  Medicare reassignment Care Compare group NPD
• Avo Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Canton, OH
  • NPI 1104431410
  NPD

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1962763615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "303-331-7506",
            "fax_number": "234-285-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "303-331-7506",
            "fax_number": "234-285-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSHORN",
        "first_name": "RUBY",
        "middle_name": "MARIE",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102269-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "WATTS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Scott Hartenstein
• Bobbie Jo Hartman, CDCA
• Denise Rae Hartman, LPN
• Tanya Hartman
• Wylia Hartman, RN, MSN-L
• Deanna Hartshorne
• Michael J Harvan, PH.D
• Adrienne Elizabeth Harvey-Ritchie, RN
• Andrew Bryan Harvey
• Daniel Harvey, PA-C

• Professional Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.