Individual provider Active NPI

Abigail Jean Rutledge, LPCC

  • Mental Health Counselor
  • Chico, CA
National Provider Identifier
1801483581
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8994 Issued in CA
Practice address
873 Bertino PL
Chico, CA 95973-9376
Phone
(530) 433-9037
Fax
(530) 430-3884
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8994 CA Primary

Addresses

Primary practice location

873 Bertino PL
Chico, CA 95973-9376

Mailing address

1380 East Ave Ste 124
#115
Chico, CA 95926-7349
Phone (530) 433-9037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 16, 2024 through Aug 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1801483581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EAST AVE STE 124",
            "address_2": "#115",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267349",
            "telephone_number": "530-433-9037",
            "fax_number": "530-430-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 BERTINO PL",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739376",
            "telephone_number": "530-433-9037",
            "fax_number": "530-430-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "ABIGAIL",
        "middle_name": "JEAN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.