Rudolph Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180007114 Issued in IL

Legal business name

RUDOLPH COUNSELING

Practice address

16255 Hartman Rd
Davis, IL 61019-9201

Phone

(815) 988-6687

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Rebecca RudolphNPI 1750619318

Title

Owner

Phone

(815) 354-0604

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Rudolph, MS CADC LCPC

  • Counselor
  • Davis, IL
  • NPI 1750619318

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1477091908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 DORR RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610722839",
            "telephone_number": "815-988-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 HARTMAN RD",
            "city": "DAVIS",
            "state": "IL",
            "postal_code": "610199201",
            "telephone_number": "815-988-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-354-0604"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180007114",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "4570125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750619318",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750619318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Hastings-Kuhlmeier, D.C.
• Elizabeth Johnston, MSW, LCSW
• Amanda Landon, LPC
• Kathryn Miller
• Elise Packer
• Rebecca Rudolph, MS CADC LCPC
• Anita Jean Rumage
• Matthew Schroeder
• Shannon Rae Spradlin, LPN
• Susan Ann Watson, RCR

• Community/Behavioral Health Agency in Davis, IL
• Providers in Davis, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.