Joel Rutledge, LPC, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

542 Issued in OK

Practice address

704 N Oak Ave
Ada, OK 74820-3267

Phone

(580) 332-3001

Fax

(580) 332-3652

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1093830713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N OAK AVE",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203267",
            "telephone_number": "580-332-3001",
            "fax_number": "580-332-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "JOEL",
        "credential": "LPC, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "542",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Rush, A.T.C., L.A.T.
• Ericka N Russell, PTA
• Maegan Renee' Russell, APRN-CNP
• Glenene Ruth
• Michelle Elaine Rutherford
• Theodore Mark Rutledge, MD
• Trudy N Rutledge, ICADC
• Johnny J Sacco, CRNA
• Sarah Elizabeth Sadler
• Saints Medical Group, LLC (Tory Norred, MD)

• Addiction (Substance Use Disorder) Counselor in Ada, OK
• Providers in Ada, OK by specialty
• Addiction (Substance Use Disorder) Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.