Individual provider Active NPI

Regan Mosher-Rudolf, LMHC

  • Mental Health Counselor
  • Zionsville, IN
National Provider Identifier
1104257930
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002160A Issued in IN
Practice address
9732 Autumn Way
Zionsville, IN 46077-8239
Phone
(317) 670-0311
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002160A IN Primary

Addresses

Primary practice location

9732 Autumn Way
Zionsville, IN 46077-8239

Mailing address

9732 Autumn Way
Zionsville, IN 46077-8239
Phone (317) 670-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1104257930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 AUTUMN WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778239",
            "telephone_number": "317-670-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 AUTUMN WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778239",
            "telephone_number": "317-670-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHER-RUDOLF",
        "first_name": "REGAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002160A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.