1. Home
  2. Directory
  3. Alabama
  4. Guntersville
  5. Counselor
  6. NPI Profile

MRS. ELIZABETH NICOLE RUCKER M.S.
NPI 1770132912
Counselor in Guntersville, AL

Active since September 10, 2019PECOS Enrolled
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976(256) 582-3203 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Elizabeth Nicole Rucker M.s. NPPES

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

MRS. ELIZABETH NICOLE RUCKER M.S. (NPI 1770132912) is an individual counselor in Guntersville, Alabama and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770132912
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. ELIZABETH NICOLE RUCKERCredential: M.S.
Location Address2409 HOMER CLAYTON DRIVEGuntersville, AL 35976
Mailing Address2409 Homer Clayton DriveGuntersville, AL 35976
Phone(256) 582-3203
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 10, 2019
✔ NPI 1770132912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2409 HOMER CLAYTON DRIVE, Guntersville, AL 35976
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Elizabeth Nicole Shaw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Nicole Rucker M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446733240
PECOS Enrollment IDI20260310003572
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 Elizabeth Rucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marshall-Jackson Mental Health Bd., Inc.
Same address
Community/Behavioral Health
2409 HOMER CLAYTON DR
Guntersville, AL 35976
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1568495588 (256) 582-3203

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 20

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

MRS. JAIME DEE HAYDUK MSW
Counselor
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
HANNAH ELIZABETH BISHOP
Case Manager/Care Coordinator
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
MR. CHRISTOPHER H GOODGAME
Counselor (Mental Health)
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
MARILI ZURITA
Counselor
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
MRS. BRITANY SMITH BROWN MSW
Counselor
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
BECKY LOUISE NEATHERY
Case Manager/Care Coordinator
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
KATRINA FRYER
Physician Assistant
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203
MRS. MARY KATHERINE GORDON BS
Case Manager/Care Coordinator
2409 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL 35976
Marshall County (256) 582-3203

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 Elizabeth Rucker's NPI number?

The NPI number for Elizabeth Rucker is 1770132912. It was assigned to this individual provider in the NPPES registry on September 10, 2019. The provider is also known as Ms. Elizabeth Nicole Shaw.

Where is Elizabeth Rucker located?

Elizabeth Rucker practices at 2409 Homer Clayton Drive, Guntersville, AL 35976. The listed phone number is (256) 582-3203.

What is Elizabeth Rucker's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Elizabeth Rucker enrolled in Medicare?

Yes. Elizabeth Rucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Rucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Rucker reassigns Medicare benefits to Marshall-Jackson Mental Health Bd., Inc. (Guntersville, AL). 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 Elizabeth Rucker'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 Elizabeth Rucker was last updated on September 10, 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.