Individual provider Active NPI

Anna Leah Rudasill, LPC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1073852166
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66108 Issued in TX
Practice address
1805 Florence Rd
Suite 10
Killeen, TX 76541-8523
Phone
(254) 526-4673
Fax
(254) 526-4853
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66108 TX Primary

Addresses

Primary practice location

1805 Florence Rd
Suite 10
Killeen, TX 76541-8523

Mailing address

PO Box 416
Temple, TX 76503-0416
Phone (254) 778-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240416002560 TX Practitioner - Mental Health Counselor 3577902113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angels on the Horizon Therapeutic Center, LLC CurrentSince Feb 17, 2024 Accepting new patients
Travail Adaptations Past Accepting new patients
W. Schaffer & Associates Past Accepting new patients

Locations

1216 Duncan Rd
Copperas Cove, TX 76522
Phone (254) 577-4880

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1073852166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765030416",
            "telephone_number": "254-778-4673",
            "fax_number": "254-526-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FLORENCE RD",
            "address_2": "SUITE 10",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418523",
            "telephone_number": "254-526-4673",
            "fax_number": "254-526-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDASILL",
        "first_name": "ANNA",
        "middle_name": "LEAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.