Individual provider Active NPI

Michael Ruttenberg, LMFT

  • Marriage & Family Therapist
  • Loveland, CO
National Provider Identifier
1336738640
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
541 Issued in CO
Practice address
1880 Fall River Dr Ste 250
Loveland, CO 80538-7157
Phone
(970) 775-8626
NPI assigned
Jan 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 541 CO Primary

Addresses

Primary practice location

1880 Fall River Dr Ste 250
Loveland, CO 80538-7157

Mailing address

1880 Fall River Dr Ste 250
Loveland, CO 80538-7157
Phone (970) 775-8626

Other practice location 1

2255 Midpoint Dr
Fort Collins, CO 80525-4306
Phone (970) 498-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240229002582 CO Practitioner - Marriage and Family Therapist 7315382322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
541COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Larimer County CurrentSince Nov 19, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Larimer County PastSince Jan 1, 2021 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2255 Midpoint Dr
Fort Collins, CO 80525
Phone (970) 498-7495

1880 Fall River Dr
Ste 250
Loveland, CO 80538
Phone (970) 775-8626

Organizations & group practices 4

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1336738640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 FALL RIVER DR STE 250",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387157",
            "telephone_number": "970-775-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 FALL RIVER DR STE 250",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387157",
            "telephone_number": "970-775-8626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 Midpoint Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254306",
            "country_code": "US",
            "telephone_number": "970-498-7554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTENBERG",
        "first_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.