Bette Brock Rutan, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

19 Cypress Hollow LN
Ormond Beach, FL 32174-3047

Phone

(386) 366-4797

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

Yes

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

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

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.

• Florida Counseling Network LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ormond Beach, FL
  • NPI 1821584202
  NPD
• Assessments Inc

  • Mental Health Counselor
  • Jensen Beach, FL
  • NPI 1063160752
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1407416050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CYPRESS HOLLOW LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743047",
            "telephone_number": "386-366-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CYPRESS HOLLOW LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743047",
            "telephone_number": "386-366-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTAN",
        "first_name": "BETTE",
        "middle_name": "BROCK",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Rowley
• Carolyn Jade Rowley, MS., CF-SLP
• Roya Medical Center Inc
• RSC Ormond Beach Seaside LLC
• Mark Stephen Rubin, M.D.
• RX Group One LLC
• Taylor Morgan Ryan
• Evette Adel Saad, PHARMACIST
• Sachaka PLLC
• Reena Sachdev, M.D.

• Mental Health Counselor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.