Susan Ruby, MA, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LH00011015 Issued in WA

Practice address

22602 14TH PL W
Bothell, WA 98021-9438

Phone

(206) 915-9876

Fax

(425) 286-6116

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1992814925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 BEARDSLEE BLVD UNIT 1881",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980410347",
            "telephone_number": "206-915-9876",
            "fax_number": "425-286-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22602 14TH PL W",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219438",
            "telephone_number": "206-915-9876",
            "fax_number": "425-286-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "SUSAN",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00011015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie D Rowans, LPN
• Leslie Susan Rowans
• Lindsey Marie Rowsell
• Roy Bartlett DO PS
• Brian Curtiss Rubens, DDS
• Lily Roya Rumptz, DNP, ARNP, FNP-C
• Dianna Rushton
• Ruth M. Quist, LMHC, PLLC
• Susanne Christine Ryan
• Astrid Monserrat Rylander, LMT

• Professional Counselor in Bothell, WA
• Providers in Bothell, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.