RUTH KOMER LMFTA
NPI 1821686882
Marriage & Family Therapist in Davidson, NC

Active since January 05, 2021Opted out of Medicare · through Mar 20, 2028
705 PENINSULA DR, DAVIDSON, NC 28036(704) 237-4042 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ruth Komer Lmfta NPPES

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

RUTH KOMER LMFTA (NPI 1821686882) is an individual marriage & family therapist in Davidson, North Carolina, licensed in North Carolina (12219A) and active in the NPI registry since January 2021. She has opted out of Medicare through March 20, 2028.

NPPES Registry Identity

NPI1821686882
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameRUTH KOMERCredential: LMFTA
Location Address705 PENINSULA DRDavidson, NC 28036-7200
Mailing Address2227 Redwood DrIndian Trail, NC 28079-4301 · (704) 651-7588
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1821686882 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 NC · 12219A
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.
705 PENINSULA DR, Davidson, NC 28036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ruth Komer Lmfta has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2024 through March 20, 2028.

Opt-Out Effective DateMarch 20, 2024
Opt-Out In Effect ThroughMarch 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
705 PENINSULA DR
DAVIDSON, NC 28036
Counselor (Mental Health)
705 PENINSULA DR
DAVIDSON, NC 28036
Counselor (Professional)
705 PENINSULA DR
DAVIDSON, NC 28036

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 Komer's NPI number?

The NPI number for Ruth Komer is 1821686882. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Ruth Komer located?

Ruth Komer practices at 705 Peninsula Dr, Davidson, NC 28036. The listed phone number is (704) 237-4042.

What is Ruth Komer's specialty?

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

Is Ruth Komer enrolled in Medicare?

No. Ruth Komer has opted out of Medicare through March 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ruth Komer was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.