Organization Active NPI

Rudolf H Petrini Lcmhc PLLC

  • Professional Counselor
  • Jamestown, NC
National Provider Identifier
1861300477
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RUDOLF H PETRINI LCMHC PLLC
Practice address
4058 Gunsmith CT
Jamestown, NC 27282-7787
Phone
(336) 337-5679
NPI assigned
Sep 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Mr. Rudolf Harald Petrini, LCMHC
Title
Sole Member
Phone
(336) 337-5679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4058 Gunsmith CT
Jamestown, NC 27282-7787

Mailing address

4058 Gunsmith CT
Jamestown, NC 27282-7787
Phone (336) 337-5679

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1861300477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 GUNSMITH CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827787",
            "telephone_number": "336-337-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 GUNSMITH CT",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827787",
            "telephone_number": "336-337-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLF H PETRINI LCMHC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "PETRINI",
        "authorized_official_first_name": "RUDOLF",
        "authorized_official_middle_name": "HARALD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-337-5679",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.