Active NPI
Rhonda Lee Rudner, LMHC
- Counselor
- Boston, MA
National Provider Identifier
1255405486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3763
- Practice address
- 264 Beacon St
6TH Floor
Boston, MA 02116-1236 - Phone
- (617) 401-1584
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3763 | MA | Primary |
Addresses
Primary practice location
264 Beacon St
6TH Floor
Boston, MA 02116-1236
Mailing address
144 Saint Botolph St
#31
Boston, MA 02115-5221
Phone (617) 401-1584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 4, 2025 through Apr 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3763 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1255405486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 SAINT BOTOLPH ST",
"address_2": "#31",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155221",
"telephone_number": "617-401-1584",
"fax_number": "617-267-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 BEACON ST",
"address_2": "6TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161236",
"telephone_number": "617-401-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNER",
"first_name": "RHONDA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.