Individual provider Active NPI

Amber Frances Rucker, SUDP, CAAR, SWAICL

  • Addiction (Substance Use Disorder) Counselor
  • Bellingham, WA
National Provider Identifier
1467031229
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP61424877 Issued in WA
Practice address
515 Lakeway Dr
Bellingham, WA 98225-5233
Phone
(360) 676-2187
Fax
(360) 757-0136
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61095313 WA
Clinical Social Worker 1041C0700X SC61667418 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61424877 WA Primary

Addresses

Primary practice location

515 Lakeway Dr
Bellingham, WA 98225-5233

Mailing address

9751 Vista Ter
Blaine, WA 98230-9771
Phone (360) 201-0002

Other practice location 1

9751 Vista Ter
Blaine, WA 98230-9771
Phone (360) 201-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO61095313WAMDAddiction (Substance Use Disorder) Counselor
CP61424877WAMDAddiction (Substance Use Disorder) Counselor
SC61667418WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1467031229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 VISTA TER",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309771",
            "telephone_number": "360-201-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LAKEWAY DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255233",
            "telephone_number": "360-676-2187",
            "fax_number": "360-757-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9751 Vista Ter",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982309771",
            "country_code": "US",
            "telephone_number": "360-201-0002",
            "fax_number": "360-201-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "AMBER",
        "middle_name": "FRANCES",
        "credential": "SUDP, CAAR, SWAICL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61095313",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61667418",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61424877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.