Individual provider Active NPI

Rebecca Anne Rudd, PHD, LMFT, LMHC, RPT

  • Family Psychologist
  • Spokane, WA
National Provider Identifier
1699894881
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
407 E 2ND Ave Ste 250
Spokane, WA 99202-1439
Phone
(509) 315-9776
Fax
(509) 202-4322
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X Primary
Mental Health Counselor 101YM0800X LH60063971 WA
Marriage & Family Therapist 106H00000X LF60074423 WA

Addresses

Primary practice location

407 E 2ND Ave Ste 250
Spokane, WA 99202-1439

Mailing address

421 W Riverside Ave
Suite 670
Spokane, WA 99201-0405
Phone (509) 879-4860

Other identifiers 1

IdentifierTypeStateIssuer
1699894881MedicaidWA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH60063971WAMDMental Health Counselor
LF60074423WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solace, PLLC Mental Health Current Accepting new patients
Reflective Wellness and Consulting PLLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

407 E 2nd Ave
Ste 250
Spokane, WA 99202
Phone (509) 315-9776

421 W Riverside Ave
Ste 1015
Spokane, WA 99201
Phone (509) 903-6811

421 W Riverside Ave
Ste 670
Spokane, WA 99201

Organizations & group practices 2

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1699894881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W RIVERSIDE AVE",
            "address_2": "SUITE 670",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010405",
            "telephone_number": "509-879-4860",
            "fax_number": "509-202-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 2ND AVE STE 250",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021439",
            "telephone_number": "509-315-9776",
            "fax_number": "509-202-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMFT, LMHC, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60063971",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60074423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699894881",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.