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MS. TONI YVETTE RUDISILL LPC
NPI 1285102954
Counselor - Mental Health in Chesapeake, VA

Active since November 11, 2018PECOS Enrolled
3210 CHURCHLAND BLVD STE 2, CHESAPEAKE, VA 23321(757) 966-2162 Get Directions Write a Review

NPPES record last updated: November 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Toni Yvette Rudisill Lpc NPPES

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

MS. TONI YVETTE RUDISILL LPC (NPI 1285102954) is an individual mental health provider in Chesapeake, Virginia, licensed in Virginia (0701007822) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285102954
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. TONI YVETTE RUDISILLCredential: LPC
Location Address3210 CHURCHLAND BLVD STE 2Chesapeake, VA 23321-5253
Mailing Address4105 Belvedere DrChesapeake, VA 23321-5413 · (757) 405-8665 · Fax (757) 686-9797
Phone(757) 966-2162
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 11, 2018
✔ NPI 1285102954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701007822
3210 CHURCHLAND BLVD STE 2, Chesapeake, VA 23321
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Toni Yvette Rudisill Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052895729
PECOS Enrollment IDI20260319004190
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.

Medicare Billing Reassignment

Medicare enrollment records show Toni Rudisill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kl Gash & Associates LLC
15 mi
Clinical
12 MUSKET LN
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1699384149 (412) 401-9707

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

SERENITY PSYCHOTHERAPY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3210 CHURCHLAND BLVD STE 2
CHESAPEAKE, VA 23321
Chesapeake City (757) 966-2162
QUALITY TRAINING & SKILL BUILDING LLC
Home Health
3210 CHURCHLAND BLVD STE 2
CHESAPEAKE, VA 23321
Chesapeake City (757) 527-3231

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 Toni Rudisill's NPI number?

The NPI number for Toni Rudisill is 1285102954. It was assigned to this individual provider in the NPPES registry on November 11, 2018.

Where is Toni Rudisill located?

Toni Rudisill practices at 3210 Churchland Blvd Ste 2, Chesapeake, VA 23321. The listed phone number is (757) 966-2162.

What is Toni Rudisill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Toni Rudisill enrolled in Medicare?

Yes. Toni Rudisill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toni Rudisill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Rudisill reassigns Medicare benefits to Kl Gash & Associates LLC (Hampton, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Rudisill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toni Rudisill was last updated on November 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.