Nicholas Rudgear

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-18103 Issued in AZ

Practice address

1440 E Missouri Ave Ste C160
Phoenix, AZ 85014-2458

Phone

(602) 878-8142

NPI assigned

Jan 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orange Tree Psychotherapy LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1962287508
  Medicare reassignment NPD Authorized official
• Arizona Psychology Consultants, Inc.

  • Pastoral Counselor
  • Mesa, AZ
  • NPI 1295852051

  Mental Health

  NPD (past)
• Evolvedmd, Inc.

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
  • NPI 1821613704
  NPD (past)
• Professional Counseling Associates, LLC

  • Marriage & Family Therapist
  • Mesa, AZ
  • NPI 1568581031

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1407329048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE C160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142458",
            "telephone_number": "602-878-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE C160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142458",
            "telephone_number": "602-878-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDGEAR",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn T Ruda, LMSW
• Ryan Lee Rudd, D.C.
• Iris L Ruddy, N.P.
• Tyler James Ruddy
• Caitlin Rudgear, LPC
• Marina Voltchenok Rudin, M.D.
• Mark Francis Rudinsky, M.D.
• Jill A Rudloff, R.N.
• Jenna Rudo-Stern, MA
• Joseph Thomas Rudy

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.