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THOMAS RUDERSTALLER LPC
NPI 1043693096
Counselor - Professional in Tempe, AZ

Active since July 08, 2015PECOS Enrolled
2120 S MCCLINTOCK DR, STE. 105, TEMPE, AZ 85282(480) 804-0326(480) 302-7884 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Jan 25, 2016 (2 updates tracked since 2016).

About Thomas Ruderstaller Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS RUDERSTALLER LPC (NPI 1043693096) is an individual professional provider in Tempe, Arizona, licensed in Arizona (LPC-15817) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043693096
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTHOMAS RUDERSTALLERCredential: LPC
Location Address2120 S MCCLINTOCK DR, STE. 105Tempe, AZ 85282-2692
Mailing Address1400 E Southern Ave, Suite 735Tempe, AZ 85282-5691 · (480) 804-0326 · Fax (480) 302-7884
Phone(480) 804-0326
Fax(480) 302-7884
Sole ProprietorNo
Enumeration DateJuly 8, 2015
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1043693096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-15817
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LAC-14239 (AZ)
2120 S MCCLINTOCK DR, Tempe, AZ 85282
Open in Google Maps ↗

Other Identifiers 1

Medicaid069063AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Ruderstaller Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE L HANCOCK LAC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CHRISTIA J. LEWIS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GRANT RUSSEL NEES M.ED. IN COUNSELING
Counselor (Mental Health)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
GAYLON CALAHAN LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
CRISCYNTHIA LINDSEY LMSW
Social Worker
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
MARISSA L MASCORRO PSYD
Psychologist (Clinical)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
TIFFANY A WILLIAMS LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326
MRS. BETH ANN BABCOCK LPC
Counselor (Professional)
2120 S MCCLINTOCK DR, SUITE 105
TEMPE, AZ 85282
Maricopa County (480) 804-0326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ruderstaller's NPI number?

The NPI number for Thomas Ruderstaller is 1043693096. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Thomas Ruderstaller located?

Thomas Ruderstaller practices at 2120 S Mcclintock Dr Ste. 105, Tempe, AZ 85282. The listed phone number is (480) 804-0326.

What is Thomas Ruderstaller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Thomas Ruderstaller enrolled in Medicare?

Yes. Thomas Ruderstaller is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Ruderstaller accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Thomas Ruderstaller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Ruderstaller was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.