Rebecca Rudolph

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2014004871 Issued in MO

Practice address

21 Municipal Dr
Arnold, MO 63010-1012

Phone

(636) 296-6206

Fax

(636) 296-0102

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1619250586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-931-2700",
            "fax_number": "636-931-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MUNICIPAL DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630101012",
            "telephone_number": "636-296-6206",
            "fax_number": "636-296-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2014004871",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014004871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kaye Rosenthal, MPT
• Ilana Shaina Rosman, MD
• Shannon Ross, M.S., CCC-SLP
• Christine Rothrock, LPC
• Diana M Roukoz, D.O.
• Suegol Sadri, DDS
• Adis Sahbaz, RPH
• Rebecca Sander
• Tara Lynn Sanders, P.T.
• Alan R. Sandidge, M.D.

• Professional Counselor in Arnold, MO
• Providers in Arnold, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.