Kelly Anne Rudolf, LPC - Counselor in Prescott, AZ

Kelly Anne Rudolf, LPC is a Counselor - Mental Health based in Prescott, Arizona. Kelly Anne Rudolf is licensed to practice in Arizona (license number LPC-23118) and her current practice location is 115 S Mccormick St, Prescott, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 756-0662.

NPI number for Kelly Anne Rudolf is 1891441812 and her current mailing address is 5649 N Bronco Ln, Prescott Valley, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891441812.

Contact Information

Kelly Anne Rudolf, LPC
115 S Mccormick St,
Prescott, AZ 86303-4738
(928) 756-0662
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Anne Rudolf
GenderFemale
SpecialityCounselor - Mental Health
Location115 S Mccormick St, Prescott, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891441812
  • Provider Enumeration Date: 02/28/2022
  • Last Update Date: 06/12/2024

Medical Identifiers

Medical identifiers for Kelly Anne Rudolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891441812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC-23118 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Anne Rudolf is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Anne Rudolf, LPC
5649 N Bronco Ln,
Prescott Valley, AZ 86314-5856

Ph: (516) 592-7369
Kelly Anne Rudolf, LPC
115 S Mccormick St,
Prescott, AZ 86303-4738

Ph: (928) 756-0662

Reviews and Comments


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