NICHOLAS RUDGEAR
NPI 1407329048
Counselor - Mental Health in Phoenix, AZ

Active since January 07, 2019PECOS Enrolled
1440 E MISSOURI AVE STE C160, PHOENIX, AZ 85014(602) 878-8142 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Aug 22, 2023, May 21, 2023 and 4 more (7 updates tracked since 2019).

About Nicholas Rudgear NPPES

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

NICHOLAS RUDGEAR (NPI 1407329048) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-18103) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407329048
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS RUDGEAR
Location Address1440 E MISSOURI AVE STE C160Phoenix, AZ 85014-2458
Mailing Address1440 E Missouri Ave Ste C160Phoenix, AZ 85014-2458 · (602) 878-8142
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 7, 2019
Last NPPES UpdateJune 13, 20247 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1407329048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LPC-18103
1440 E MISSOURI AVE STE C160, Phoenix, AZ 85014

Accepted 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)

Nicholas Rudgear is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375028830
PECOS Enrollment IDI20260403000953
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 3

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

Counselor (Mental Health)
1440 E MISSOURI AVE STE C160
PHOENIX, AZ 85014
Counselor (Mental Health)
1440 E MISSOURI AVE STE C160
PHOENIX, AZ 85014
Counselor (Mental Health)
1440 E MISSOURI AVE STE C160
PHOENIX, AZ 85014

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 Nicholas Rudgear's NPI number?

The NPI number for Nicholas Rudgear is 1407329048. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Nicholas Rudgear located?

Nicholas Rudgear practices at 1440 E Missouri Ave Ste C160, Phoenix, AZ 85014. The listed phone number is (602) 878-8142.

What is Nicholas Rudgear's specialty?

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

Is Nicholas Rudgear enrolled in Medicare?

Yes. Nicholas Rudgear is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Rudgear accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nicholas Rudgear 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 Nicholas Rudgear was last updated on June 13, 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.