MS. SERENA LYNANN RUTH
NPI 1538723689
Counselor - Addiction (Substance Use Disorder) in Cedar Rapids, IA

Active since April 24, 2019PECOS Enrolled
4050 BOWLING ST SW, CEDAR RAPIDS, IA 52404(319) 862-1050 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2020, May 1, 2019, Apr 24, 2019 (3 updates tracked since 2019).

About Ms. Serena Lynann Ruth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SERENA LYNANN RUTH (NPI 1538723689) is an individual addiction (substance use disorder) provider in Cedar Rapids, Iowa and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538723689
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SERENA LYNANN RUTH
Location Address4050 BOWLING ST SWCedar Rapids, IA 52404-5005
Mailing Address4050 Bowling St SwCedar Rapids, IA 52404-5005 · (319) 862-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 24, 2019
Last NPPES UpdateMarch 4, 20203 updates tracked since enumeration
NPPES CertifiedMarch 4, 2020
NPI 1538723689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4050 BOWLING ST SW, Cedar Rapids, IA 52404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Serena Lynann Ruth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325534902
PECOS Enrollment IDI20260102003242
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Peer Specialist
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404
Counselor (Addiction (Substance Use Disorder))
4050 BOWLING ST SW
CEDAR RAPIDS, IA 52404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Ruth's NPI number?

The NPI number for Serena Ruth is 1538723689. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Serena Ruth located?

Serena Ruth practices at 4050 Bowling St SW, Cedar Rapids, IA 52404. The listed phone number is (319) 862-1050.

What is Serena Ruth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Serena Ruth enrolled in Medicare?

Yes. Serena Ruth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Serena Ruth was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.