Shelby Rudloff, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2203267 Issued in OH

Practice address

445 E Dublin Granville Rd Ste G
Worthington, OH 43085-3183

Phone

(614) 844-3800

NPI assigned

Oct 31, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I Am Boundless IncGroup PAC ID 9931596103, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelby.rudloff.p1@direct.iamboundless.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I Am Boundless, Inc

  • Community/Behavioral Health Agency
  • Worthington, OH
  • NPI 1891458477
  Medicare reassignment Care Compare group NPD
• I Am Boundless, Inc.

  • Clinic/Center
  • Worthington, OH
  • NPI 1063230175
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1013429919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 TOURNAMENT WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238301",
            "telephone_number": "937-631-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD STE G",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853183",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLOFF",
        "first_name": "SHELBY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002957",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashanda Rowe-White
• Susan Jane Rowland, PHD
• Sarah Rowsey
• Abigail Ruble, LPC
• Isis Rucker
• Lara Ruffing, LISW-S
• Laura Elizabeth Sell Rupert, PA-C, ATC
• Espoir Rushambara
• Richard Keith Russell, PH.D
• Amber Kristin Ryan

• Professional Counselor in Worthington, OH
• Providers in Worthington, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.