Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOAH RUYBAL LCSW
NPI 1720761588
Social Worker - Clinical in Bolivar, MO

Q: What is Noah Ruybal's NPI number?

The NPI number for Noah Ruybal is 1720761588. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Noah Ruybal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Noah Ruybal was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

Active since August 09, 2023PECOS EnrolledAccepts Medicare Assignment

1240 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-6021(417) 326-6347 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 24, 2026, Jul 2, 2025, Aug 9, 2023 (3 updates tracked since 2023).

On this page

About Noah Ruybal Lcsw NPPES

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

NOAH RUYBAL LCSW (NPI 1720761588) is an individual clinical provider in Bolivar, Missouri, licensed in Missouri (2025025564) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Warrensburg, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720761588

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameNOAH RUYBALCredential: LCSW

Location Address1240 N BUTTERFIELD RDBolivar, MO 65613-3016

Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000

Phone(417) 326-6021

Fax(417) 326-6347

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 9, 2023

Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1720761588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2025025564

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1240 N BUTTERFIELD RD, Bolivar, MO 65613

Open in Google Maps ↗

Secondary Practice Location 1

Location 1616 Burkarth RdWarrensburg, MO 64093-1462 · Phone (844) 853-8937

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noah Ruybal Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456865195

PECOS Enrollment IDI20250707001709

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BOLIVAR FAMILY CARE CENTER, LLC

Family Medicine