NICOLE SUSANNE RUTTENBERG (NPI# 1497365969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497365969 |
| Entity Type | Individual |
| Full Name | NICOLE SUSANNE RUTTENBERG |
| Credential | MS, LMFTA |
| Practice Address |
17129 32nd Ave Ne Lake Forest Park WA 98155-5323 |
| Practice Telephone | 2068506439 |
| Mailing Telephone | 2068506439 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 61073067 | WA | Behavioral Health & Social Service Providers |
| Street Address |
17129 32ND AVE NE |
| City | LAKE FOREST PARK |
| State | WA |
| Zip Code | 98155-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922575703 | Dale Worrell | Counselor | Center for Human Services, 17018 15th Ave Ne, Shoreline, WA 98155 | 2018-10-30 |
| 1770060568 | Jason Freed | Occupational Therapist | 1250 Ne 145th St., Shoreline, WA 98155 | 2018-07-24 |
| 1497208771 | Mirit Markowitz | Counselor | 14803 15 Ave Ne, Seattle, WA 98155 | 2016-08-03 |
| 1003207788 | Jessica Hinckley | Counselor | 17018 15tth Ave Ne, Shoreline, WA 98155 | 2015-02-17 |
| 1407119001 | Erika Tydor | Optometrist | 18021 15th Ave Ne Suite 100, Shoreline, WA 98155 | 2012-06-19 |
| 1891075917 | Kieran Joseph Mcmanimon | Massage Therapist | 18724 35th Ave Ne, Lake Forest Park, WA 98155 | 2011-08-20 |
| 1376841270 | Kym Kolb | Massage Therapist | 17908 15th Ave Ne, Shoreline, WA 98155 | 2011-03-02 |
| 1205069333 | Acclaim Body Care, LLC | Massage Therapist | 17517 15th Ave., Suite B, Shoreline, WA 98155 | 2009-08-24 |
| 1881834570 | Jason Sailesh Dave | Naturopath | 2871 University St, Seattle, WA 98155 | 2009-02-20 |
| 1396918975 | Ashleigh Veronique Schultz | Counselor | 216 Ne 175th Street, Shoreline, WA 98155 | 2008-04-04 |
| Find all providers in zip 98155 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245431899 | Jeanette Rodriguez | Marriage & Family Therapist | 3532 Ne 153rd St Apt 203, Lake Forest Park, WA 98155-7465 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881564 | Adapt To Growth Therapy, Pllc | Marriage & Family Therapist | 406 Main St Ste 102a, Edmonds, WA 98020-3166 | 2020-11-06 |
| 1932707890 | Danesha Deloatch | Marriage & Family Therapist | 1004 Commercial Ave # 2024, Anacortes, WA 98221-4117 | 2020-10-13 |
| 1184230500 | Jeanne Marie Jankus | Marriage & Family Therapist | 16710 Smokey Point Blvd Ste 306, Arlington, WA 98223-8435 | 2020-09-21 |
| 1801406210 | Carlon R Ryan | Marriage & Family Therapist | 11521 122nd Ave Nw, Gig Harbor, WA 98329-5848 | 2020-07-31 |
| 1407465404 | Kalila Marie Griffin | Marriage & Family Therapist | 15 S Grady Way Ste 214, Renton, WA 98057-3220 | 2020-07-26 |
| 1790394823 | Shazia Shafaat | Marriage & Family Therapist | 13811 56th Dr Se, Everett, WA 98208-9464 | 2020-07-24 |
| 1568070845 | Claudia Graciela Johnson | Marriage & Family Therapist | 2717 Western Ave Apt 5002, Seattle, WA 98121-1162 | 2020-07-22 |
| 1841808714 | Angelina Louise Charlotte Thomson | Marriage & Family Therapist | 75 Nw Dogwood St Ste B, Issaquah, WA 98027-3258 | 2020-07-16 |
| 1831712736 | Robert Teister | Marriage & Family Therapist | 29617 156th Ave E, Graham, WA 98338-7441 | 2020-05-26 |
| 1336762319 | Philip Knute Lee | Marriage & Family Therapist | 6927 180th St Se, Snohomish, WA 98296-5371 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST PARK |
| Zip Code | 98155 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.