Candace Rutkowski, MA, LMFT, RPT-S

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1413-124 Issued in WI

Practice address

N2440 Ara Glen Dr Ste 203
Lake Geneva, WI 53147-3736

Phone

(651) 564-8456

NPI assigned

Apr 24, 2016

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Holding Space Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Geneva, WI
  • NPI 1275157224
  NPD Authorized official

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1306291661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2440 ARA GLEN DR STE 203",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531473736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2440 ARA GLEN DR STE 203",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531473736",
            "telephone_number": "651-564-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "CANDACE",
        "credential": "MA, LMFT, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3072",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1413-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Romanowski, OTR/L
• Ryan P Romeo, ATC
• Laura M Rosol, MD
• Coty Ruffalo
• Annmarie G Klyzub Ruggiero, CD,CLA
• Brittany L Ruvalcaba
• Gabrielle Judith-Mania Saden, MD
• Cody Sadikoff, RN
• Nicole Saldivar
• Samantha Cox DDS LLC

• Marriage & Family Therapist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.