Individual provider Active NPI

Caitlin Rudgear, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1245974450
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19333 Issued in AZ
Practice address
1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542
Phone
(602) 878-8142
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-19333 AZ Primary

Addresses

Primary practice location

1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542

Mailing address

1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260402003831 AZ Practitioner - Mental Health Counselor 4284119744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1440 E Missouri Ave
Suite 160
Phoenix, AZ 85014-2542
Phone (602) 878-8142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19333AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Tree Psychotherapy LLC Mental Health CurrentSince Sep 5, 2023 Accepting new patients

Locations

4647 N 32nd St
Ste B175
Phoenix, AZ 85018
Phone (602) 218-6901

1440 E Missouri Ave
Ste 160
Phoenix, AZ 85014
Phone (602) 878-8142

1440 E Missouri Ave
Ste C160
Phoenix, AZ 85014
Phone (602) 878-8142

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1245974450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142542",
            "telephone_number": "602-878-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDGEAR",
        "first_name": "CAITLIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.