Active NPI
Jennifer Jacobs Rudolf, MA, LPC, ATR-BC
- Professional Counselor
- Hershey, PA
National Provider Identifier
1255988002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC010079
- Practice address
- 905 W Governor Rd Ste 200
Hershey, PA 17033-2310 - Phone
- (717) 531-7234
- Fax
- (717) 531-0067
- NPI assigned
- Aug 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC010079 | PA | Primary |
Addresses
Primary practice location
905 W Governor Rd Ste 200
Hershey, PA 17033-2310
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
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 |
|---|---|---|---|
| PC010079 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1255988002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W GOVERNOR RD STE 200",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332310",
"telephone_number": "717-531-7234",
"fax_number": "717-531-0067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOLF",
"first_name": "JENNIFER",
"middle_name": "JACOBS",
"name_prefix": "Mrs.",
"credential": "MA, LPC, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC010079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.