Individual provider Active NPI

Theresa Thweatt Rulien, PH.D., LMFT, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1043314412
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 2990 Issued in FL
Practice address
3715-1 San Jose Place
Jacksonville, FL 32257-4517
Phone
(904) 731-4070
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 2990 FL Primary
Marriage & Family Therapist 106H00000X MT 1450 FL

Addresses

Primary practice location

3715-1 San Jose Place
Jacksonville, FL 32257-4517

Mailing address

5036 Harrow Rd
Jacksonville, FL 32217-4517
Phone (904) 731-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 2990FLMDMental Health Counselor
MT 1450FLMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043314412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 HARROW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174517",
            "telephone_number": "904-731-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715-1 SAN JOSE PLACE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574517",
            "telephone_number": "904-731-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULIEN",
        "first_name": "THERESA",
        "middle_name": "THWEATT",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 2990",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 1450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.