NICHOLAS RUDGEAR
NPI 1407329048
Counselor - Mental Health in Phoenix, AZ
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas Rudgear is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Rudgear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85014
- Reassigned Medicare billing, Arizona enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Nicholas Rudgear's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Rudgear reassigns Medicare benefits to Orange Tree Psychotherapy LLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Rudgear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Rudgear accept?
Health plans from Anthem Blue Cross and Blue Shield, 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.
# Nicholas Rudgear · NPI 1407329048
Mental Health provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since January 7, 2019.
## Identity
- **NPI:** 1407329048 (Entity type: Individual)
- **Enumerated:** January 7, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC-18103 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1440 E MISSOURI AVE STE C160, Phoenix, AZ 85014-2458
- **Phone:** (602) 878-8142
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Orange Tree Psychotherapy LLC (NPI 1962287508, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 13, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1407329048) · Data from the CMS NPPES public registry.