Roseanna Rutledge, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3166 Issued in FL

Legal business name

ROSEANNA RUTLEDGE, LMHC

Practice address

1208 NW 6TH St
Gainesville, FL 32601-4245

Phone

(352) 379-2829

Fax

(352) 379-2843

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Roseanna Rutledge

Title

Owner

Phone

(352) 379-2829

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1427412873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-379-2829",
            "fax_number": "352-379-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014245",
            "telephone_number": "352-379-2829",
            "fax_number": "352-379-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEANNA RUTLEDGE, LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "ROSEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-379-2829"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z7891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Rose, PHARMD
• Jeffrey L Rose, M.D.
• Marissa Elaine Rose
• Nelson Max Rose, CRNA
• Rebecca Penta Rose
• Morgan Andrea Rosegger, PA-C
• Robert Lewis Roseman, M.D.
• Abbie Rosen, PHARMD
• Chelsea Drew Rosen, MD
• David Ian Rosen, D.M.D.

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, 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 Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.