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MAXI ALEXIS RUDOLPH
NPI 1164952982
Counselor - Professional in Blue Bell, PA

Active since June 14, 2017PECOS Enrolled
1777 SENTRY PKWY W STE 300, BLUE BELL, PA 19422(215) 767-7096 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Jun 14, 2017 (2 updates tracked since 2017).

About Maxi Alexis Rudolph NPPES

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

MAXI ALEXIS RUDOLPH (NPI 1164952982) is an individual professional provider in Blue Bell, Pennsylvania and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164952982
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMAXI ALEXIS RUDOLPH
Location Address1777 SENTRY PKWY W STE 300Blue Bell, PA 19422-2211
Mailing Address1777 Sentry Pkwy W Ste 300Blue Bell, PA 19422-2211
Phone(215) 767-7096
Sole ProprietorNo
Enumeration DateJune 14, 2017
Last NPPES UpdateApril 18, 20232 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1164952982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
1777 SENTRY PKWY W STE 300, Blue Bell, PA 19422
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Other Identifiers 1

Other101YP2500XPA · Counselor Professional

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxi Alexis Rudolph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

JOSEPH VIOLI
Counselor (Professional)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096
BETHANY BRYDE LCSW
Social Worker (Clinical)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096
KAYLEE TAYLOR LCSW
Social Worker (Clinical)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096
DANIELLE BRAZINSKI ATR-BC, LPC
Counselor (Professional)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096
ANNE GERENSER LCSW
Social Worker (Clinical)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096
ERIKA JOYCE TODARO LPC
Counselor (Professional)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (570) 350-7793
ADAM Z BIDAS M.ED, LPC, NCC
Counselor (Professional)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (267) 433-8018
DAVID C FALES
Counselor (Professional)
1777 SENTRY PKWY W STE 300
BLUE BELL, PA 19422
Montgomery County (215) 767-7096

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 Maxi Rudolph's NPI number?

The NPI number for Maxi Rudolph is 1164952982. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Maxi Rudolph located?

Maxi Rudolph practices at 1777 Sentry Pkwy W Ste 300, Blue Bell, PA 19422. The listed phone number is (215) 767-7096.

What is Maxi Rudolph's specialty?

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

Is Maxi Rudolph enrolled in Medicare?

Yes. Maxi Rudolph is registered in the Medicare PECOS enrollment system.

What insurance does Maxi Rudolph accept?

Health plans from Providence Health Plan list Maxi Rudolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxi Rudolph was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.