Ruthie Lee Stark - Redman, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14743 Issued in TX

Practice address

1100 Nasa Pwky
Suite 201 a
Houston, TX 77598-7759

Phone

(281) 904-6512

NPI assigned

Feb 2, 2020

Last updated

Jul 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1912538547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 GLACIER AVE APT 226",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775913017",
            "telephone_number": "440-231-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NASA PWKY",
            "address_2": "SUITE 201 A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "775987759",
            "telephone_number": "281-904-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK - REDMAN",
        "first_name": "RUTHIE",
        "middle_name": "LEE",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-02",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.S. ADDICTION COUNSELOR",
            "identifier": "101Y00000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rachel Starck
• Latoya Starghill
• Alexander Stark, MD
• James M. Stark, M.D.
• Jessica Stark, MD
• Johanna Michelle Stark, AU.D.
• Kelsie Marie Stark, PHARMD

• Addiction (Substance Use Disorder) Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.