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BRANDON MICHAEL LUDOLPH
NPI 1023681277
Counselor - Professional in Metamora, IL

Active since July 23, 2021
1431 LOURDES RD, METAMORA, IL 61548(309) 383-4323 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brandon Michael Ludolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON MICHAEL LUDOLPH (NPI 1023681277) is an individual professional provider in Metamora, Illinois, licensed in Illinois (180013763) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1023681277
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDON MICHAEL LUDOLPH
Location Address1431 LOURDES RDMetamora, IL 61548-7609
Mailing Address1431 Lourdes RdMetamora, IL 61548-7609 · (309) 383-4323
Phone(309) 383-4323
Sole ProprietorYes
Enumeration DateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1023681277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180013763
1431 LOURDES RD, Metamora, IL 61548
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON SILVERTHORN OTR/L
Occupational Therapist
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323
MS. MEGAN OETGEN LCPC
Counselor (Mental Health)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323
ELIZABETH MICHELLE KERR-GLASCOCK
Counselor (Mental Health)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323
MRS. ALISIA NICOLE QUIGLEY-HOLMBECK MSW, LCSW
Social Worker (Clinical)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (815) 343-2636
CIARA TRIMBLE-RODDY
Counselor (Mental Health)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323
MENDED HEARTS STABLE
Clinic/Center (Adolescent and Children Mental Health)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323
MRS. JULIE E SELLNER LCPC
Clinic/Center (Adolescent and Children Mental Health)
1431 LOURDES RD
METAMORA, IL 61548
Woodford County (309) 383-4323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Ludolph's NPI number?

The NPI number for Brandon Ludolph is 1023681277. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Brandon Ludolph located?

Brandon Ludolph practices at 1431 Lourdes Rd, Metamora, IL 61548. The listed phone number is (309) 383-4323.

What is Brandon Ludolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Brandon Ludolph was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.