Individual provider Active NPI

James Anthony Rucker Sr., MA, LAC, LMFT

  • Marriage & Family Therapist
  • Aurora, CO
National Provider Identifier
1639604234
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0002478 Issued in CO
Practice address
16423 E Adriatic PL
Aurora, CO 80013-1105
Phone
(720) 504-5585
Fax
(720) 513-0777
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 ACD.0001299 CO
Marriage & Family Therapist 106H00000X MFT.0002478 CO Primary

Addresses

Primary practice location

16423 E Adriatic PL
Aurora, CO 80013-1105

Mailing address

16423 E Adriatic PL
Aurora, CO 80013-1105
Phone (720) 296-2467

Other identifiers 1

IdentifierTypeStateIssuer
9000175546MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240410001301 CO Practitioner - Marriage and Family Therapist 7012355001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACD.0001299COMDAddiction (Substance Use Disorder) Counselor
MFT.0002478COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Liv'N With a Purpose Addiction (Substance Use Disorder) CurrentSince Mar 3, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1639604234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16423 E ADRIATIC PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131105",
            "telephone_number": "720-296-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16423 E ADRIATIC PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131105",
            "telephone_number": "720-504-5585",
            "fax_number": "720-513-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA, LAC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001299",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0002478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000175546",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.