Active NPI
Heather Christine Ruddell
- Professional Counselor
- Salem, OR
National Provider Identifier
1720413719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5171
- Practice address
- 2001 Commercial St SE Ste 200
Salem, OR 97302-5207 - Phone
- (503) 370-8050
- NPI assigned
- Sep 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5171 | OR | Primary |
Addresses
Primary practice location
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Mailing address
2001 Commercial St SE Ste 200
Salem, OR 97302-5207
Phone (503) 370-8050
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Pastoral Counseling Center | Mental Health | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1720413719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 COMMERCIAL ST SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973025207",
"telephone_number": "503-370-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 COMMERCIAL ST SE STE 200",
"city": "SALEM",
"state": "OR",
"postal_code": "973025207",
"telephone_number": "503-370-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDELL",
"first_name": "HEATHER",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-09",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.