Individual provider Active NPI

Patricia Rutledge, LMHC

  • Professional Counselor
  • Slidell, LA
National Provider Identifier
1598968331
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7253 Issued in LA
Practice address
113 Christian LN
Slidell, LA 70458-1377
Phone
(985) 781-7353
Fax
(985) 781-7354
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH7826 FL
Professional Counselor 101YP2500X 7253 LA Primary

Addresses

Primary practice location

113 Christian LN
Slidell, LA 70458-1377

Mailing address

113 Christian LN
Slidell, LA 70458-1377
Phone (985) 781-7353

Other practice location 1

1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 469-3500

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
MH7826FLMDMental Health Counselor
7253LAMDDentist

Interoperability endpoints

  • Direct secure messaging: patricia.rutledge.1@11331.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1598968331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CHRISTIAN LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581377",
            "telephone_number": "985-781-7353",
            "fax_number": "985-781-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHRISTIAN LN",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581377",
            "telephone_number": "985-781-7353",
            "fax_number": "985-781-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011857",
            "country_code": "US",
            "telephone_number": "850-469-3500",
            "fax_number": "850-595-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "PATRICIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7826",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.