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SUSAN RUBY MA, LMHC
NPI 1992814925
Counselor - Professional in Bothell, WA

Active since August 30, 2006Opted out of Medicare · through Jan 1, 2028
22602 14TH PL W, BOTHELL, WA 98021(206) 915-9876(425) 286-6116 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Jun 25, 2020 (2 updates tracked since 2020).

About Susan Ruby Ma, Lmhc NPPES

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

SUSAN RUBY MA, LMHC (NPI 1992814925) is an individual professional provider in Bothell, Washington, licensed in Washington (LH00011015) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1992814925
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSAN RUBYCredential: MA, LMHC
Location Address22602 14TH PL WBothell, WA 98021-9438
Mailing Address10500 Beardslee Blvd Unit 1881Bothell, WA 98041-0347 · (206) 915-9876 · Fax (425) 286-6116
Phone(206) 915-9876
Fax(425) 286-6116
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1992814925 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 WA · LH00011015
22602 14TH PL W, Bothell, WA 98021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Susan Ruby Ma, Lmhc 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Susan Ruby's NPI number?

The NPI number for Susan Ruby is 1992814925. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Susan Ruby located?

Susan Ruby practices at 22602 14th Pl W, Bothell, WA 98021. The listed phone number is (206) 915-9876.

What is Susan Ruby's specialty?

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

Is Susan Ruby enrolled in Medicare?

No. Susan Ruby has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Susan Ruby accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Susan Ruby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Ruby was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.