Active NPI
Laurie Scheid Rudolph, MA, LPC, NCC, CAAC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1184765232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401009641
- Practice address
- 5985 W Main St
Suite 809
Kalamazoo, MI 49009-8708 - Phone
- (269) 929-6964
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401009641 | MI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-00572 | MI |
Addresses
Primary practice location
5985 W Main St
Suite 809
Kalamazoo, MI 49009-8708
Mailing address
5937 W Main St
Kalamazoo, MI 49009-9101
Phone (269) 929-6964
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401009641 | Other | MI | PROF COUNSEL LL |
| 201686 | Other | MI | INTERNATIONAL CERTIFICATION AND RECIPROCITY CONSORTIUM |
| 208703 | Other | MI | NATIONAL BOARD FOR CERTIFIED COUNSELORS INC |
| C-00572 | Other | MI | MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-00572 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401009641 | MI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1184765232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099101",
"telephone_number": "269-929-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5985 W MAIN ST",
"address_2": "SUITE 809",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098708",
"telephone_number": "269-929-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLPH",
"first_name": "LAURIE",
"middle_name": "SCHEID",
"name_prefix": "Mrs.",
"credential": "MA, LPC, NCC, CAAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401009641",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-00572",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF COUNSEL LL",
"identifier": "6401009641",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL CERTIFICATION AND RECIPROCITY CONSORTIUM",
"identifier": "201686",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS INC",
"identifier": "208703",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS",
"identifier": "C-00572",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.