Individual provider Active NPI

Eric Rudd, LPCC

  • Mental Health Counselor
  • Murray, KY
National Provider Identifier
1558183319
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
294457 Issued in KY
Practice address
300 Maple St Ste 2
Murray, KY 42071-2540
Phone
(502) 339-4201
NPI assigned
Oct 31, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 294457 KY Primary

Addresses

Primary practice location

300 Maple St Ste 2
Murray, KY 42071-2540

Mailing address

4010 Dupont Cir Ste B173
Louisville, KY 40207-4812

Other practice location 1

4010 DuPont Cir Ste B173
Louisville, KY 40207-4812
Phone (502) 825-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109002562 KY Practitioner - Mental Health Counselor 4183152754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadia CounselingGroup PAC ID 3870024722, 6 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite B173
Louisville, KY 40207-4812
Phone (502) 825-1375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Counseling Mental Health CurrentSince Dec 10, 2024 Accepting new patients

Locations

4010 DuPont Cir
Ste B173
Louisville, KY 40207
Phone (502) 825-1375

300 Maple St
Ste 2
Murray, KY 42071
Phone (270) 339-4201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1558183319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE B173",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAPLE ST STE 2",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712540",
            "telephone_number": "502-339-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DuPont Cir Ste B173",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074812",
            "country_code": "US",
            "telephone_number": "502-825-1375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDD",
        "first_name": "ERIC",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "294457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.