Jonathan Rucker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2404003 Issued in AR

Practice address

2703 SE G St Ste 2
Bentonville, AR 72712-3740

Phone

(479) 368-2911

Fax

(479) 391-5254

NPI assigned

Nov 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vineyard Counseling LLC

  • Mental Health Counselor
  • Bentonville, AR
  • NPI 1245070762
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1831808294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13767 PELLA LN",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648508781",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 SE G ST STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 E 32nd St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043903",
            "country_code": "US",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JONATHAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2404003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Roweton
• Kristine Kwon Rowland, APRN
• Rachael R Rowray, MPT
• RS Renewal LLC
• Rosanna Nicole Rubley, APRN
• Kathryn Rudder
• Brenda Louise Rude, MD
• Meagan Marie Ruffing, LPC, LAMFT
• Justin T Rusinowski
• Russ Physical Therapy

• Professional Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; 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.