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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACQUELINE M RUDDY ASW
NPI 1295390631
Marriage & Family Therapist in Huntington Beach, CA

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
2130 MAIN ST STE 120, HUNTINGTON BEACH, CA 92648(714) 402-5106 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, May 1, 2019 (2 updates tracked since 2019).

About Jacqueline M Ruddy Asw NPPES

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

JACQUELINE M RUDDY ASW (NPI 1295390631) is an individual marriage & family therapist in Huntington Beach, California, licensed in California (53280) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Viejo, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295390631
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE M RUDDYCredential: ASW
Location Address2130 MAIN ST STE 120Huntington Beach, CA 92648-6476
Mailing Address918 Main St Apt CHuntington Beach, CA 92648-3457 · (714) 402-5106
Phone(714) 402-5106
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1295390631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 53280
Definition
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.
2130 MAIN ST STE 120, Huntington Beach, CA 92648
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Secondary Practice Location 1

Location 127799 Medical Center Rd Ste 270Mission Viejo, CA 92691-6400 · Phone (949) 365-2387 · Fax (949) 347-0746

Other Identifiers 1

Other1235447897Bbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline M Ruddy Asw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264886928
PECOS Enrollment IDI20230928002288
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

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

CYNTHIA ELAINE ANDERSON LMFT
Marriage & Family Therapist
2130 MAIN ST STE 120
HUNTINGTON BEACH, CA 92648
Orange County (714) 264-6659

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 Jacqueline Ruddy's NPI number?

The NPI number for Jacqueline Ruddy is 1295390631. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Jacqueline Ruddy located?

Jacqueline Ruddy practices at 2130 Main St Ste 120, Huntington Beach, CA 92648. The listed phone number is (714) 402-5106.

What is Jacqueline Ruddy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Ruddy enrolled in Medicare?

Yes. Jacqueline Ruddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Ruddy was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.