MEDICARE: MARY ELLEN RUFFING LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CCMH0191041	NM
2	101YM0800X	Mental Health Counselor	LPC.0018762	CO
3	101YM0800X	Mental Health Counselor	CP5371-R	NV

General Provider Information

NPI Number	:	1932782406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELLEN RUFFING LPCC

Provider Business Mailing Address
First Line	:	10580 N MCCARRAN BLVD STE 115-511
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-2059
Country	:	US
Telephone Number	:	505-614-6530
Fax Number	:

Provider Business Practice Location Address
First Line	:	10580 N MCCARRAN BLVD STE 115-511
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-2059
Country	:	US
Telephone Number	:	505-614-6530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	10/08/2025

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