Individual provider Active NPI

Ruthanne Rhoads, LMHC, LPC

  • Professional Counselor
  • La Pine, OR
National Provider Identifier
1083954598
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C5934 Issued in OR
Practice address
51605 Coach Road
Lapine, OR 97739
Phone
(541) 322-7500
Fax
(541) 322-7565
NPI assigned
Feb 20, 2013
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC010026 PA
Counselor 101Y00000X 37PC00631000 NJ
Counselor 101Y00000X LH60446714 WA
Professional Counselor 101YP2500X C5934 OR Primary

Addresses

Primary practice location

51605 Coach Road
Lapine, OR 97739

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7500

Other practice location 1

16931 Jacinto Rd
Bend, OR 97707-2034
Phone (206) 913-9359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000997 OR Practitioner - Mental Health Counselor 0648620765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00631000NJMDCounselor
PC010026PAMDCounselor
LH60446714WAMDCounselor
C5934ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Deschutes County Oregon CurrentSince Jan 1, 2024 Accepting new patients

Locations

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

Interoperability endpoints

  • Direct secure messaging: ruthannerhoads@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1083954598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017638",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51605 COACH ROAD",
            "city": "LAPINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16931 Jacinto Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977072034",
            "country_code": "US",
            "telephone_number": "206-913-9359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADS",
        "first_name": "RUTHANNE",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC010026",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00631000",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60446714",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C5934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.