Organization Active NPI

Orange Tree Psychotherapy LLC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1962287508
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ORANGE TREE PSYCHOTHERAPY LLC
Practice address
1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542
Phone
(602) 878-8142
Fax
(602) 563-8150
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Authorized official

Name
Nicholas Rudgear, LPCNPI 1407329048
Title
Practice Administrator
Phone
(602) 536-9321

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542

Mailing address

1440 E Missouri Ave Ste 160
Phoenix, AZ 85014-2542
Phone (602) 878-8142

Other names 1

  • Orange Tree Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401003722 AZ Part B Supplier - Clinic/Group Practice 7911482476 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1440 E Missouri Ave
Ste C160
Phoenix, AZ 85014
Phone (602) 878-8142

1440 E Missouri Ave
Ste 160
Phoenix, AZ 85014
Phone (602) 878-8142

4647 N 32nd St
Ste B175
Phoenix, AZ 85018
Phone (602) 218-6901

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1962287508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142542",
            "telephone_number": "602-878-8142",
            "fax_number": "602-563-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142542",
            "telephone_number": "602-878-8142",
            "fax_number": "602-563-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE TREE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "RUDGEAR",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "602-536-9321",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Tree Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.