Lisa Renee Rudduck, MA, CDP, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60118561 Issued in WA

Practice address

10518 NE 68TH St
Suite 203
Kirkland, WA 98033-7003

Phone

(425) 274-6053

NPI assigned

Jan 15, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1477739944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 9TH AVE S",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336701",
            "telephone_number": "425-274-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10518 NE 68TH ST",
            "address_2": "SUITE 203",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337003",
            "telephone_number": "425-274-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDUCK",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, CDP, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60118561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "LH60118561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Rowe
• Kristy Marie Rowley, MA, LMHC, NCC
• Roya Nutrition & Wellness, LLC
• RP Associates Inc
• David Allan Rudduck
• Tom J Rude, D.D.S.
• Shanna Rudio
• Megan Marie Rueckl, LMP
• Anyssa Danielle Ruiz, DPT
• Hederson Anibal Ruiz

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.