Michelle Rudesill, CRC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4604 N Norman St
Oklahoma City, OK 73122-4113

Phone

(405) 628-4326

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Therapy Solutions of Oklahoma, LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1659855278
  Medicare reassignment NPD
• Prime Mental Health, LLC

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1912612334

  Rehabilitation Counselor

  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1710570874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 N NORMAN ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731224113",
            "telephone_number": "405-628-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N NORMAN ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731224113",
            "telephone_number": "405-628-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDESILL",
        "first_name": "MICHELLE",
        "credential": "CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "OK",
            "license": "00394550",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Rucker, AU.D.
• Sidra E Rucker
• Shelby Rudd-Munchinski
• Mack Timothy Rudd, D.D.S.
• Kleopatra Ruddock, AA
• Constance Ann Rudkin, APRN CNP
• Lisa Rudolph, CNS
• Scot W Ruf, LPC
• Joseph Jerard Ruff
• Alyssa Nichole Ruffalo

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.