Rugged Heart Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RUGGED HEART COUNSELING LLC

Practice address

2026 N Farragut St
Portland, OR 97217-6421

Phone

(971) 318-0755

NPI assigned

Mar 6, 2021

Organization subpart

No

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

Authorized official

Name

Sawyer Ryan Salameh, LPC

Title

Owner

Phone

(907) 299-8733

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Rugged Heart Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rugged Heart Counseling LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1043880925
  NPD tax ID

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1659966117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 N FARRAGUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N FARRAGUT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176421",
            "telephone_number": "971-318-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUGGED HEART COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "SALAMEH",
        "authorized_official_first_name": "SAWYER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-299-8733",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500712857",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ruggedheart@protonmail.com",
            "affiliation": "N",
            "address_1": "2026 N Farragut St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972176421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jayla Shanice Ruffus-Milner
• Hannah Rufner
• Derek Rufo
• Randall David Rugg, PMHNP
• Rugged Heart Counseling LLC
• Leah Ruggiere
• David Rugh, C.R.M
• Paige Nicole Ruh, DO
• Amy Carol Ruhoff, R.N., M.S.N., CNS
• Daniel David Ruimy, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.