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Susan Ruby , MA, LMHC

Counselor - Professional β€’ Bothell, WA

Active NPI 1992814925 Individual Practitioner Female Practitioner
Practice location in NPPES

22602 14th Pl W
Bothell, WA 980219438

Call 2069159876 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

22602 14th Pl W

Bothell, WA 980219438

Telephone 2069159876
Fax 4252866116

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Susan Ruby as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bothell and Washington

5 active clinicians are listed under Counselor - Professional with a practice address in Bothell, WA (589 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WA LH00011015
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location January 20, 2022

Registered at 22602 14TH PL W, BOTHELL, WA 980219438 (Tel: 2069159876)

πŸ“
Updated Business Mailing Address January 20, 2022

Registered at 10500 BEARDSLEE BLVD UNIT 1881, BOTHELL, WA 980410347 (Tel: 2069159876)

πŸ“
Updated Practice Location June 25, 2020

Registered at 144 RAILROAD AVE STE 221, EDMONDS, WA 980204100 (Tel: 2069159876)

πŸ“
Updated Business Mailing Address June 25, 2020

Registered at 144 RAILROAD AVE STE 221, EDMONDS, WA 980204100 (Tel: 2069159876)

πŸ‘€
Provider Name / Credentials Updated June 25, 2020

Recorded as SUSAN RUBY, MA, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Counselor (license number reported to NPPES: WA LH00011015)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 20016 CEDAR VALLEY RD STE 104, LYNNWOOD, WA 980366332 (Tel: 2069159876)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3626B LARCH WAY, LYNNWOOD, WA 980366830 (Tel: 4256080073)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SUSAN RUBY, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Marriage & Family Therapist

🟒
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992814925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: January 20, 2022
Sole Proprietor: Yes

Mailing Address

10500 Beardslee Blvd Unit 1881

Bothell, WA 980410347

Phone: 2069159876

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.