Leah Jean Rutkowski, MA, LPC, MBC-HWC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401014255 Issued in MI

Practice address

1205 S Mission St Ste 14
Mount Pleasant, MI 48858-3939

Phone

(989) 317-8668

Fax

(989) 355-0734

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• LJR Wellness Consulting Services

  • Counselor
  • Mt Pleasant, MI
  • NPI 1457141079
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1386217313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171402",
            "telephone_number": "989-317-8668",
            "fax_number": "989-355-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST STE 14",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-317-8668",
            "fax_number": "989-355-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 N McEwan St",
            "address_purpose": "LOCATION",
            "city": "Clare",
            "state": "MI",
            "postal_code": "486171402",
            "country_code": "US",
            "telephone_number": "989-317-8668",
            "fax_number": "989-355-0734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "LEAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, MBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin M Rubingh, BAA
• Sally A Rudy, DPT
• Herman B Ruiz, MD
• Lauren Russell, LMSW
• Hannah Elizabeth Russo
• Ryan J Lilly MD PLLC
• Ryan M. Hills, DDS, PLC
• Marion Marie Rydahl
• Mariam Nayef Saad
• Rami Safadi, MD

• All providers in Mount Pleasant, MI
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.