Carolyn Rudolph

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

166026 Issued in OH

Practice address

2401 Reading Rd
Cincinnati, OH 45202-1357

Phone

(513) 768-6924

NPI assigned

Aug 9, 2018

Last updated

Aug 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cincinnati Union Bethel

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1235623265
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1629557814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 5 MILE RD STE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452304348",
            "telephone_number": "513-421-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021357",
            "telephone_number": "513-768-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "166026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey M. Rudick
• Steven Gregg Rudick
• Jessica Rudie
• Emily Puetz Rudloff, M.D.
• Rudolph J Moreira MD Inc
• Ebony Rudolph, LPN
• Gail F Rudolph, CNS
• Lisa Lynn Rudolph
• Lisa Marie Rudolph, D.M.D.
• Mark Rudolph, MD

• Addiction (Substance Use Disorder) Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.