Active NPI
Caroline Ruttner, LICSW
- Addiction (Substance Use Disorder) Counselor
- Brighton, MA
National Provider Identifier
1386950046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 114824
- Practice address
- 77 Warren St
Brighton, MA 02135-3601 - Phone
- (617) 254-1271
- Fax
- (617) 787-4279
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 114824 | MA | Primary |
Addresses
Primary practice location
77 Warren St
Brighton, MA 02135-3601
Mailing address
77 Warren St
Brighton, MA 02135-3601
Phone (617) 254-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 16, 2024 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114824 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1386950046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353601",
"telephone_number": "617-254-1271",
"fax_number": "617-787-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 WARREN ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021353601",
"telephone_number": "617-254-1271",
"fax_number": "617-787-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTNER",
"first_name": "CAROLINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "114824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.