JOHN RUDOLPH (LPC) – Professional Counselor, NPI 1952896052

JOHN RUDOLPH (LPC) is a healthcare provider. based in Westlake, Ohio. specializing in Professional Counselor. They hold the professional credentials LPC. They hold a License No. C.0007827 (OH). The NPI Number for JOHN RUDOLPH (LPC) is 1952896052

Main info

Male
Sole Proprietor
Name
JOHN RUDOLPH (LPC)
NPI
1952896052
Phone
(440) 529-9419
Address
3550 Crocker Rd
Enumeration Date
30 June 2018
Last Update Date
16 September 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for JOHN RUDOLPH (LPC)

  • 3550 Crocker Rd

    Westlake, OH 441456314

    Phone: (440) 529-9419

    Fax: (440) 588-8674

    Type: Location

  • 1744, Payne Avenue, Playhouse Square, Cleveland, Cuyahoga County, Ohio, 44114, United States

    CLEVELAND, OH 441142910

    Phone: (216) 623-6555

    Type: Location

  • PO BOX 1075

    COLUMBIA STATION, OH 440281075

    Phone: (440) 529-9419

    Fax: (440) 588-8674

    Type: Mailing

  • 35895 ROYALTON RD

    GRAFTON, OH 440449587

    Phone: (440) 529-9419

    Fax: (440) 588-8674

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240923003719IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44145)

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Reviews

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Frequently asked questions

Can I verify JOHN RUDOLPH (LPC) with an NPI only?
You can start verification with NPI 1952896052 for JOHN RUDOLPH (LPC), then check state licensing separately.
Can I rely on JOHN RUDOLPH (LPC) being an active provider?
As of the registry snapshot, JOHN RUDOLPH (LPC) is marked active.
What is JOHN RUDOLPH (LPC)'s primary classification?
Professional Counselor is the headline specialty for JOHN RUDOLPH (LPC) here. Clinical services aligned with this taxonomy classification.
Where is JOHN RUDOLPH (LPC) based?
JOHN RUDOLPH (LPC) is tied to Westlake, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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