Individual provider Active NPI

Eric Rutberg, MA, LCPC

  • Mental Health Counselor
  • Wilton, ME
National Provider Identifier
1982776225
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC2077 Issued in ME
Practice address
233 Village View Street
Wilton, ME 04294
Phone
(207) 491-6014
NPI assigned
Nov 14, 2006
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 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 CC2077 ME Primary

Addresses

Primary practice location

233 Village View Street
Wilton, ME 04294

Mailing address

PO Box 1082
Wilton, ME 04294-1082
Phone (207) 645-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260218001154 ME Practitioner - Mental Health Counselor 7113407107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Washington Ave
Suite 100
Portland, ME 04103-2842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC2077MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eq Maine LLC Mental Health CurrentSince Jun 5, 2022 Accepting new patients
Your Well-Being LLC Mental Health CurrentSince Nov 18, 2025 Accepting new patients
Spurwink Services Incorporated CurrentSince Jan 11, 2026 Accepting new patients

Locations

901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145

9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1982776225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1082",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042941082",
            "telephone_number": "207-645-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 VILLAGE VIEW STREET",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "04294",
            "telephone_number": "207-491-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTBERG",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, ME

Sources for this page

Verify at the official NPI Registry.