Barbara Rudolph, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A060571021 Issued in CA

Practice address

1530 3Rd St Ste 111
Lincoln, CA 95648-2501

Phone

(916) 884-0285

NPI assigned

Jan 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1013453299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 111",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482501",
            "telephone_number": "916-884-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 111",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482501",
            "telephone_number": "916-884-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Sunrise Avenue",
            "address_2": "Building 200, Ste-201",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956619566",
            "country_code": "US",
            "telephone_number": "916-782-3737 x305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12183 Locksley Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956022050",
            "country_code": "US",
            "telephone_number": "530-885-1961 x2309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "BARBARA",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A060571021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly D. Robinson, MD
• Marcella Rodriguez
• Patricia Rodriguez
• Guadalupe Romero
• RSVP Speechtherapy, Inc.
• Martha Ruiz Coffelt I, RDHAP
• Marina Kiilani Ruppert, LCSW
• Marsha M. Rusby, L.M.F.T.
• Seraphim Shameera Russel-Fisher, MD
• S. Jang DDS Incorporated (Smile Time Dental)

• Addiction (Substance Use Disorder) Counselor in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.