Individual provider Active NPI

Therese M Rutherford

  • Counselor
  • Sonora, CA
National Provider Identifier
1386134450
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
87653 Issued in CA
Practice address
105 Hospital Rd
Sonora, CA 95370-5227
Phone
(209) 533-6245
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 87653 CA Primary

Addresses

Primary practice location

105 Hospital Rd
Sonora, CA 95370-5227

Mailing address

2 S Green St
Sonora, CA 95370-4618
Phone (209) 533-6245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87653CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tuolumne CurrentSince Feb 7, 2024 Accepting new patients

Locations

2 S Green St
Sonora, CA 95370

105 Hospital Rd
Sonora, CA 95370
Phone (209) 533-6245

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1386134450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S GREEN ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704618",
            "telephone_number": "209-533-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOSPITAL RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705227",
            "telephone_number": "209-533-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "THERESE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "87653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.