Active NPI
Raeanne Lee Ruster, LMSW
- Counselor
- Spring Lake, MI
National Provider Identifier
1972835247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6801087333
- Practice address
- 109 S Jackson St
Spring Lake, MI 49456-2095 - Phone
- (616) 844-2900
- Fax
- (616) 844-1571
- NPI assigned
- Feb 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6801087333 | MI | Primary |
Addresses
Primary practice location
109 S Jackson St
Spring Lake, MI 49456-2095
Mailing address
13642 Maple Valley Dr
Coopersville, MI 49404-9691
Phone (616) 844-2900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801087333 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Circle Corporation | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1174601512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1972835247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13642 MAPLE VALLEY DR",
"city": "COOPERSVILLE",
"state": "MI",
"postal_code": "494049691",
"telephone_number": "616-844-2900",
"fax_number": "616-844-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S JACKSON ST",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494562095",
"telephone_number": "616-844-2900",
"fax_number": "616-844-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSTER",
"first_name": "RAEANNE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-11",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6801087333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.