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RYAN RUTKOWSKI
NPI 1053800979
Counselor - Mental Health in Cocoa, FL

Active since May 07, 2018PECOS Enrolled
505 BREVARD AVE, COCOA, FL 32922(579) 232-1632 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Apr 10, 2023, Nov 26, 2022 and 3 more (6 updates tracked since 2018).

About Ryan Rutkowski NPPES

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

RYAN RUTKOWSKI (NPI 1053800979) is an individual mental health provider in Cocoa, Florida, licensed in Florida (SW20818) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053800979
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN RUTKOWSKI
Location Address505 BREVARD AVECocoa, FL 32922-7973
Mailing Address505 Brevard AveCocoa, FL 32922-7973 · (579) 232-1632
Phone(579) 232-1632
Sole ProprietorNo
Enumeration DateMay 7, 2018
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1053800979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW20818
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801106905 (MI), 6851106905 (MI), 6801114905 (MI), SW20818 (FL)
505 BREVARD AVE, Cocoa, FL 32922
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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)

Ryan Rutkowski 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 9

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

FAMILY COUNSELING CENTER OF BREVARD INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
505 BREVARD AVE, SUITE 106
COCOA, FL 32922
Brevard County (321) 632-5792
MRS. TRACY A PORTZ LCSW
Social Worker (Clinical)
505 BREVARD AVE, 106
COCOA, FL 32922
Brevard County (321) 632-5792
MS. SAFFRONE G EMERSON LMHC, NCC, M.A.
Counselor (Mental Health)
505 BREVARD AVE, SUITE 106
COCOA, FL 32922
Brevard County (321) 632-5792
TRACY VUKOVICH
Counselor (Mental Health)
505 BREVARD AVE
COCOA, FL 32922
Brevard County (321) 632-5792
AUDREY FISHER LMHC
Counselor (Mental Health)
505 BREVARD AVE
COCOA, FL 32922
Brevard County (321) 632-5792
LORI PARSONS PSY D
Psychologist (Clinical)
505 BREVARD AVE, 106
COCOA, FL 32922
Brevard County (321) 632-5792
AMANDA D STEPHENS LMHC
Counselor (Mental Health)
505 BREVARD AVE
COCOA, FL 32922
Brevard County (321) 632-5792
CHARLA BELFLOWER
Counselor (Mental Health)
505 BREVARD AVE, 106
COCOA, FL 32922
Brevard County (321) 632-5792

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 Ryan Rutkowski's NPI number?

The NPI number for Ryan Rutkowski is 1053800979. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Ryan Rutkowski located?

Ryan Rutkowski practices at 505 Brevard Ave, Cocoa, FL 32922. The listed phone number is (579) 232-1632.

What is Ryan Rutkowski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ryan Rutkowski enrolled in Medicare?

Yes. Ryan Rutkowski is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Rutkowski accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Ryan Rutkowski 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 Ryan Rutkowski was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.