Individual provider Active NPI

Sydney Menigoz Rudy

  • Mental Health Counselor
  • Morgantown, WV
National Provider Identifier
1235765926
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
476 Issued in WV
Practice address
121 Simpson St
Morgantown, WV 26501-5921
Phone
(681) 285-1133
NPI assigned
Mar 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 476 WV Primary

Addresses

Primary practice location

121 Simpson St
Morgantown, WV 26501-5921

Mailing address

121 Simpson St
Morgantown, WV 26501-5921

Other practice location 1

1011 Pemberton Hill Rd Ste 202
Apex, NC 27502-4266
Phone (919) 667-7800

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

State licenses

LicenseStateTypeSpecialty
476WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Brain Solutions, LLC PastSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1235765926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SIMPSON ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SIMPSON ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015921",
            "telephone_number": "681-285-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Pemberton Hill Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275024266",
            "country_code": "US",
            "telephone_number": "919-667-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDY",
        "first_name": "SYDNEY",
        "middle_name": "MENIGOZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.