Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Rudgear

Individual provider Mental Health Counselor · NPI 1407329048

Nicholas Rudgear is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2016, 10 years ago. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2019

Practice location Address checks out

1440 E Missouri Ave Ste C160
Phoenix, AZ 85014-2458
Phone: (602) 878-8142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-18103 (AZ)

Record details

NPI number1407329048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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