Victoria Rutledge, LPC 3308 MFTI75505

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2382 Faraday Ave
250-12
Carlsbad, CA 92008-7218

Phone

(858) 869-9530

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Pacific Psychology Centers, Apc.

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1295124998
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1205203114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE",
            "address_2": "250-12",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087218",
            "telephone_number": "858-869-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE",
            "address_2": "250-12",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087218",
            "telephone_number": "858-869-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "VICTORIA",
        "credential": "LPC 3308 MFTI75505",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Rusch
• Grace Rusdal
• Joanne Russell, AMFT
• Natalja Marie Rutan
• Amanda Rutilio
• Kevin Garrett Taggart Rutz
• Marcy Ann Ryan, MA
• Steve C Ryan, MFT
• S-H Opco Carlsbad, LLC (Bayshire Carlsbad)
• S-H Opco Carlsbad, LLC (Emeritus at Carlsbad)

• Mental Health Counselor in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.