Individual provider Active NPI

Daevee Rucker

  • Marriage & Family Therapist
  • Fowler, CA
National Provider Identifier
1609307008
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT151949 Issued in CA
Practice address
1321 W Clara Ave
Fowler, CA 93625-4456
Phone
(559) 579-4351
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 15995 CA
Mental Health Counselor 101YM0800X LPCC19203 CA
Marriage & Family Therapist 106H00000X LMFT151949 CA Primary

Addresses

Primary practice location

1321 W Clara Ave
Fowler, CA 93625-4456

Mailing address

1321 W Clara Ave
Fowler, CA 93625-4456
Phone (559) 579-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260611001598 CA Practitioner - Marriage and Family Therapist 9931671823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC19203CAMDMental Health Counselor
LMFT151949CAMDMarriage & Family Therapist
15995CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigy Healthcare Non Profit PastSince Oct 23, 2022 Accepting new patients
Prodigy Healthcare Inc. Addiction (Substance Use Disorder) PastSince Aug 1, 2022 Accepting new patients
Center for New Directions, Inc. Mental Health PastSince May 1, 2026 Accepting new patients

Organizations & group practices 4

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1609307008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W CLARA AVE",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936254456",
            "telephone_number": "559-579-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 W CLARA AVE",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936254456",
            "telephone_number": "559-579-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "DAEVEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "15995",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC19203",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT151949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, CA

Sources for this page

Verify at the official NPI Registry.