Individual provider Active NPI

Kristin Ann Hunter-Rutledge, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1942019872
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14234 Issued in NE
Practice address
8790 F St Ste 121
Omaha, NE 68127-1529
Phone
(402) 779-5636
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 14234 NE Primary

Addresses

Primary practice location

8790 F St Ste 121
Omaha, NE 68127-1529

Mailing address

5266 Waterford Avenue Cir
Papillion, NE 68133-4852
Phone (402) 779-5636

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

OrganizationSpecialtyStatusNew patients
Innervision LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

8790 F St
Ste 121
Omaha, NE 68127
Phone (402) 779-5636

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1942019872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 WATERFORD AVENUE CIR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681334852",
            "telephone_number": "402-779-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 F ST STE 121",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271529",
            "telephone_number": "402-779-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-RUTLEDGE",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "14234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.