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DR. RUTH KARIN ELLERBROEK LMFT
NPI 1750514188
Marriage & Family Therapist in Coon Rapids, MN

Active since September 02, 2009PECOS Enrolled
13055 RIVERDALE DR NW STE 500, COON RAPIDS, MN 55448(763) 464-4321 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ruth Karin Ellerbroek Lmft NPPES

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

DR. RUTH KARIN ELLERBROEK LMFT (NPI 1750514188) is an individual marriage & family therapist in Coon Rapids, Minnesota, licensed in Minnesota (1320) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750514188
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. RUTH KARIN ELLERBROEKCredential: LMFT
Location Address13055 RIVERDALE DR NW STE 500Coon Rapids, MN 55448-8414
Mailing Address13055 Riverdale Drive Nw Ste 500, Pmb144Coon Rapids, MN 55448 · (763) 464-4321
Phone(763) 464-4321
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 2, 2009
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1750514188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in MN · 1320
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
13055 RIVERDALE DR NW STE 500, Coon Rapids, MN 55448
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruth Karin Ellerbroek Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557842754
PECOS Enrollment IDI20260602001327
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.

Medicare Billing Reassignment

Medicare enrollment records show Ruth Ellerbroek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,527 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

DR. RACHEL M DUPAUL PHD, LP
Psychologist (Counseling)
13055 RIVERDALE DR NW STE 500
COON RAPIDS, MN 55448
Anoka County (763) 294-9957

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 Ellerbroek's NPI number?

The NPI number for Ruth Ellerbroek is 1750514188. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Where is Ruth Ellerbroek located?

Ruth Ellerbroek practices at 13055 Riverdale Dr NW Ste 500, Coon Rapids, MN 55448. The listed phone number is (763) 464-4321.

What is Ruth Ellerbroek's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ruth Ellerbroek enrolled in Medicare?

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

Which organization bills Medicare for Ruth Ellerbroek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Ellerbroek reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Ruth Ellerbroek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruth Ellerbroek was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.