Individual provider Active NPI

Clarice Victoria Ruttenber, LMHC, CAP

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1609197011
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10270 Issued in FL
Practice address
3233 Maricamp Rd
Suite 107
Ocala, FL 34471-6292
Phone
(352) 812-2257
NPI assigned
Jun 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 4096 FL
Mental Health Counselor 101YM0800X MH10270 FL Primary

Addresses

Primary practice location

3233 Maricamp Rd
Suite 107
Ocala, FL 34471-6292

Mailing address

337 SE 39TH Ter
Ocala, FL 34471-3153
Phone (352) 812-2257

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
CAP 4096FLMDAddiction (Substance Use Disorder) Counselor
MH10270FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276992000000",
    "number": "1609197011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 SE 39TH TER",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713153",
            "telephone_number": "352-812-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 MARICAMP RD",
            "address_2": "SUITE 107",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716292",
            "telephone_number": "352-812-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTENBER",
        "first_name": "CLARICE",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 4096",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

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