Izandra Patrice Rudolph-Heard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4419 Issued in AL

Practice address

2911 Zelda Rd
Montgomery, AL 36106-2648

Phone

(334) 262-7787

Fax

(334) 262-7795

NPI assigned

Mar 21, 2023

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

Enrolled in AL

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• The Samaritan Counseling Center, Inc.

  • Professional Counselor
  • Montgomery, AL
  • NPI 1326080003
  Medicare reassignment NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1982306940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648",
            "telephone_number": "334-262-7787",
            "fax_number": "334-262-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648",
            "telephone_number": "334-262-7787",
            "fax_number": "334-262-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH-HEARD",
        "first_name": "IZANDRA",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ross, CRNP
• Todd P Roth, D.M.D.
• Tammie Rowe, RDN
• Jenikke D Rozell, MS, ALC
• Patrick T Rucker, MD
• Essence Rudolph, RD
• Karlenda Rudolph
• Shantica L Rudolph
• Laura L Rue, CRNP
• Alanna Rufe, PHARMD

• Mental Health Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.