RUTH ETCHELLS SIBORG LPC LLC
NPI 1629536768
Counselor - Professional in Colchester, CT
About Ruth Etchells Siborg Lpc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUTH ETCHELLS SIBORG LPC LLC (NPI 1629536768) is a healthcare organization registered as a professional in Colchester, Connecticut and active in the NPI registry since March 2019. The organization lists Ruth Etchells Siborg, Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ruth Etchells Siborg Lpc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ruth Etchells Siborg Lpc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ruth Etchells Siborg Lpc LLC's NPI number?
The NPI number for Ruth Etchells Siborg Lpc LLC is 1629536768. It was assigned to this organization in the NPPES registry on March 7, 2019.
Where is Ruth Etchells Siborg Lpc LLC located?
Ruth Etchells Siborg Lpc LLC is located at 100 Linwood Ave, Colchester, CT 06415. The listed phone number is (860) 207-7464.
What is Ruth Etchells Siborg Lpc LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ruth Etchells Siborg Lpc LLC enrolled in Medicare?
Yes. Ruth Etchells Siborg Lpc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ruth Etchells Siborg Lpc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Ruth Etchells Siborg Lpc LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ruth Etchells Siborg Lpc LLC was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ruth Etchells Siborg Lpc Llc · NPI 1629536768
Professional organization in Colchester, Connecticut. Organization record, active in the CMS NPPES registry since March 7, 2019.
## Identity
- **NPI:** 1629536768 (Entity type: Organization)
- **Enumerated:** March 7, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Ruth Siborg, COUNSELOR
## Practice location
- **Address:** 100 LINWOOD AVE, Colchester, CT 06415-1138
- **Phone:** (860) 207-7464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1629536768) · Data from the CMS NPPES public registry.