RUBY MARIE HARTSHORN LPCC-S
NPI 1962763615
Counselor - Professional in Canton, OH

Q: What is Ruby Hartshorn's NPI number?

The NPI number for Ruby Hartshorn is 1962763615. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Ruby Marie Watts.

Q: What is Ruby Hartshorn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Ruby Hartshorn was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment

3745 WHIPPLE AVE NW, CANTON, OH 44718(303) 331-7506(234) 285-6767 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, May 4, 2023, May 10, 2021 and 2 more (5 updates tracked since 2018).

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About Ruby Marie Hartshorn Lpcc-s NPPES

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

RUBY MARIE HARTSHORN LPCC-S (NPI 1962763615) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.2102269-SUPV) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1962763615

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameRUBY MARIE HARTSHORNCredential: LPCC-S

Location Address3745 WHIPPLE AVE NWCanton, OH 44718-4805

Mailing Address3745 Whipple Ave NwCanton, OH 44718-4805 · (303) 331-7506 · Fax (234) 285-6767

Phone(303) 331-7506

Fax(234) 285-6767

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 30, 2012

Last NPPES UpdateJuly 12, 20245 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1962763615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.2102269-SUPV

3745 WHIPPLE AVE NW, Canton, OH 44718

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Other Names 1

Former Name (1)Ruby Marie Watts

Other Identifiers 1

Medicaid0275720OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Ruby Marie Hartshorn Lpcc-s 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 ID2668822644

PECOS Enrollment IDI20240103002684

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.

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.

CAMERON MICHAEL MAZZIOTTA CDCA

Counselor (Addiction (Substance Use Disorder))