Ruby Lenamon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17406 Issued in TX

Practice address

4040 Beacon St
Kingsley, MI 49649-9548

Phone

(231) 263-1350

Fax

(231) 263-1353

NPI assigned

Jun 28, 2016

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

• Ruby Trevino 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.

• Lighthouse, Inc.

  • Rehabilitation Clinic/Center
  • Caro, MI
  • NPI 1770661092
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1992156244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 INGERSOLL RD SW",
            "city": "FIFE LAKE",
            "state": "MI",
            "postal_code": "496339415",
            "telephone_number": "231-886-0947",
            "fax_number": "361-575-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BEACON ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499548",
            "telephone_number": "231-263-1350",
            "fax_number": "231-263-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENAMON",
        "first_name": "RUBY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "TREVINO",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kingsley Physical Therapy, P.L.L.C.
• Amy Lynn Kipfmueller
• Laurie Lee Knapp
• Alanie D Knysz, OTR/L
• Ellen Grace-Gombar Krause, OTR/L
• Emily Lipa
• Ella Lortie
• Lori Rachelle Metcalf-Rodes, LLPC
• Lars Mitchell, MPT OCS CSCS
• Shannon Christine Nemeth, M.S., PT

• Professional Counselor in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.