MR. COLLIN WOLFE RUDDELL NPI 1780492777

NPI Information

  • NPI: 1780492777
  • Provider Name: MR. COLLIN WOLFE RUDDELL
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 8044 MONTGOMERY RD STE 120
    CINCINNATI, OH
    ZIP 45236
  • Phone: (513) 607-5128

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NPI Details

MR. Collin Wolfe Ruddell is a peer specialist in Cincinnati, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Collin Wolfe Ruddell NPI is 1780492777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8044 MONTGOMERY RD STE 120
CINCINNATI, OH
ZIP 45236-919
Phone: (513) 607-5128

The enumeration date for this NPI number is 12/21/2024 and was last updated on 5/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistAPS.005608OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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