John Rudolph, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

35895 Royalton Rd
Grafton, OH 44044-9587

Phone

(440) 529-9419

Fax

(440) 588-8674

NPI assigned

Jun 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

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 and National Provider Directory roles.

• Aaron'S Hope L.L.C.

  • Mental Health Counselor
  • Grafton, OH
  • NPI 1518465889
  Medicare reassignment NPD

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1952896052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440281075",
            "telephone_number": "440-529-9419",
            "fax_number": "440-588-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35895 ROYALTON RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "440449587",
            "telephone_number": "440-529-9419",
            "fax_number": "440-588-8674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Crocker Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441456314",
            "country_code": "US",
            "telephone_number": "440-529-9419",
            "fax_number": "440-588-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "JOHN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0007827",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298176",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Reisz, RN
• Amy Ricciardi
• Rite Aid of Ohio Inc
• Jessica Isabel Rivera, LISW-S
• Deborah Ross, LISW, LICDC
• Nelly J Ruebensaal, R.PH.
• Michael Russo
• Lynne M Schroeder
• Alexandria Lynn Sherman, MS, CCC-SLP
• Alyssa Maureen Sidwell

• Professional Counselor in Grafton, OH
• Providers in Grafton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.