NPIMap

Individual provider Active NPI

Linda L. Rutledge, LMHC

  • Cognitive & Behavioral Psychologist
  • Elma, WA
National Provider Identifier
1942431937
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
LH00004274 Issued in WA
Practice address
501 West Young Ave.
Elma, WA 98541-0588
Phone
(360) 249-2399
Fax
(360) 262-0840
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH00004274 WA
Mental Health Counselor 101YM0800X LH00004274 WA
Professional Counselor 101YP2500X LH00004274 WA
Psychoanalyst 102L00000X LH00004274 WA
Behavior Analyst 103K00000X LH00004274 WA
Cognitive & Behavioral Psychologist 103TB0200X LH00004274 WA Primary
Counseling Psychologist 103TC1900X LH00004272 WA
Psychoanalysis Psychologist 103TP0814X LH00004274 WA
Group Psychotherapy Psychologist 103TP2701X LH00004272 WA
Nutritionist 133N00000X NU00000460 WA

Addresses

Primary practice location

501 West Young Ave.
Elma, WA 98541-0588

Mailing address

PO Box 3030
Elma, WA 98541-0588
Phone (360) 249-2399

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

State licenses

LicenseStateTypeSpecialty
LH00004272WAMDMental Health Counselor
LH00004274WAMDMental Health Counselor
NU00000460WAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1942431937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3030",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985410588",
            "telephone_number": "360-249-2399",
            "fax_number": "360-262-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST YOUNG AVE.",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985410588",
            "telephone_number": "360-249-2399",
            "fax_number": "360-262-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "LINDA",
        "middle_name": "L.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "LH00004274",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "LH00004272",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "WA",
            "license": "LH00004274",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WA",
            "license": "LH00004272",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU00000460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.