Bonnie Marie Rudden, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002693 Issued in MO

Practice address

13422 Clayton Rd Ste 202
Saint Louis, MO 63131

Phone

(314) 594-8081

Fax

(636) 463-2848

NPI assigned

May 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1083826424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SHEFFIELD CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113323",
            "telephone_number": "314-594-8081",
            "fax_number": "636-463-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 CLAYTON RD STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-594-8081",
            "fax_number": "636-463-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2190 S Mason Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631311637",
            "country_code": "US",
            "telephone_number": "314-909-0424",
            "fax_number": "636-463-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDDEN",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A. Ruck, ACSW, LCSW
• Maricarolyn Rucker
• Jeremy Ruckstaetter, PHD, LPC, NCC
• Mary Rudd, PT
• Katherine Grace Ruddell
• James P Rudden, MSW, LCSW
• William John Rudder
• Dennis Rudderow, M.D.
• Kristina Ruddle, D.C.
• Ginalyn Lacson Ruder, PT

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.