Individual provider Active NPI

Vlada Rultenberg, MSW,LSW

  • Mental Health Counselor
  • Lansdale, PA
National Provider Identifier
1144891755
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW136256 Issued in PA
Practice address
309 Bainbridge LN
Lansdale, PA 19446-6669
Phone
(161) 777-5898
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X SW136256 PA Primary

Addresses

Primary practice location

309 Bainbridge LN
Lansdale, PA 19446-6669

Mailing address

309 Bainbridge LN
Lansdale, PA 19446-6669
Phone (161) 777-5898

Other names 1

  • Vadena Rultenberg Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop Other

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

State licenses

LicenseStateTypeSpecialty
SW136256PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1144891755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BAINBRIDGE LN",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466669",
            "telephone_number": "161-777-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BAINBRIDGE LN",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466669",
            "telephone_number": "161-777-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULTENBERG",
        "first_name": "VLADA",
        "credential": "MSW,LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW136256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "doxyme.com",
            "address_1": "309 Bainbridge Ln",
            "city": "Lansdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194466669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VADENA",
            "last_name": "RULTENBERG",
            "credential": "MSW,LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.