Organization Active NPI

Rud Counseling & Psychotherapy PLLC

Doing business as RUD Counseling & Psychotherapy

  • Professional Counselor
  • Crowley, TX
National Provider Identifier
1811560238
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RUD COUNSELING & PSYCHOTHERAPY PLLC
Doing business as
RUD Counseling & Psychotherapy
Practice address
1459 Conley LN
Crowley, TX 76036-1270
Phone
(817) 466-4450
Fax
(817) 423-7706
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Eartha J Camon, MA, LPC-SNPI 1528094810
Title
Ceo
Phone
(817) 466-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1459 Conley LN
Crowley, TX 76036-1270

Mailing address

910 S Crowley Rd Ste 9-348
Crowley, TX 76036-3686
Phone (817) 466-4450

Other identifiers 1

IdentifierTypeStateIssuer
0279341-01MedicaidTX

Other names 1

  • RUD Counseling & Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

910 S Crowley Rd
Ste 9348
Crowley, TX 76036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1811560238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CROWLEY RD STE 9-348",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363686",
            "telephone_number": "817-466-4450",
            "fax_number": "817-423-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 CONLEY LN",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760361270",
            "telephone_number": "817-466-4450",
            "fax_number": "817-423-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUD COUNSELING & PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "CAMON",
        "authorized_official_first_name": "EARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-466-4450",
        "authorized_official_credential": "MA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279341-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUD Counseling & Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crowley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.