Vikki L Rullman, QMHP, CADC I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3419 Issued in OR

Practice address

2577 NE Courtney Drive
Bend, OR 97701

Phone

(541) 322-7500

Fax

(541) 322-7565

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Vikki L Sorbel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1366500787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DRIVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 NE COURTNEY DRIVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-322-7500",
            "fax_number": "541-322-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLMAN",
        "first_name": "VIKKI",
        "middle_name": "L",
        "credential": "QMHP, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-06-66",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKKI",
            "last_name": "SORBEL",
            "middle_name": "L",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen E. Rueter, DMD, MS, LLC
• Kevin Rueter, M.D.
• Theresa Ruff-Josue, IBCLC
• Andrea Denae Rugg
• Nichelle Ruiz
• Jordan Runk
• Eric D Runnels, PT
• Julianna Ruotolo
• Jayna Rupley, PA-C
• Katherine Lynn Rusch, MIDWIFE

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.