Ms Rebecca Rudolph, MS CADC LCPC is a
Counselor based in Davis, Illinois. Ms Rebecca Rudolph is licensed to practice in Illinois (license number 180.007114) and her current practice location is
16255 Hartman Rd, Davis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 354-0604.
NPI number for Ms Rebecca Rudolph is 1750619318 and her current mailing address is 9792 Redfield, Roscoe, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750619318.
Healthcare Provider's Profile
Full Name | Ms Rebecca Rudolph |
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Gender | Female |
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Speciality | Counselor |
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Location | 16255 Hartman Rd, Davis, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750619318
- Provider Enumeration Date: 11/19/2009
- Last Update Date: 03/25/2025
Medical Identifiers
Medical identifiers for Ms Rebecca Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750619318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180.007114 (Illinois) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180.007114 (Illinois) | Secondary |
101Y00000X | Counselor | 180.007114 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Rebecca Rudolph is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Rebecca Rudolph, MS CADC LCPC 9792 Redfield, Roscoe, IL 61073-7117 Ph: (815) 354-0604 | Ms Rebecca Rudolph, MS CADC LCPC 16255 Hartman Rd, Davis, IL 61019-9201 Ph: (815) 354-0604 |
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