1. Home
  2. Directory
  3. Wisconsin
  4. Medford
  5. Counselor
  6. NPI Profile

MR. JACK GEORGE RUDOLPH
NPI 1487823308
Counselor in Medford, WI

Active since February 25, 2008
540 COLLEGE AVE, MEDFORD, WI 54451(715) 748-3332(715) 748-3342 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack George Rudolph NPPES

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

MR. JACK GEORGE RUDOLPH (NPI 1487823308) is an individual counselor in Medford, Wisconsin, licensed in Wisconsin (2651-125) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1487823308
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JACK GEORGE RUDOLPH
Location Address540 COLLEGE AVEMedford, WI 54451-2027
Mailing Address540 College AveMedford, WI 54451-2027 · (715) 748-3332 · Fax (715) 748-3342
Phone(715) 748-3332
Fax(715) 748-3342
Sole ProprietorNo
Enumeration DateFebruary 25, 2008
Last NPPES UpdateMarch 13, 2008
✔ NPI 1487823308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 2651-125
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
540 COLLEGE AVE, Medford, WI 54451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

TAYLOR COUNTY
Counselor (Addiction (Substance Use Disorder))
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY
Early Intervention Provider Agency
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY
Case Management
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332
MR. ANTHONY J SCHMIDT C.R.C & L.P.C.
Counselor (Mental Health)
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY
Community/Behavioral Health
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332
MR. KELLY J SCHULTZ L.P.C,S.A.C.
Counselor (Mental Health)
540 COLLEGE AVE
MEDFORD, WI 54451
Taylor County (715) 748-3332

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 Jack Rudolph's NPI number?

The NPI number for Jack Rudolph is 1487823308. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Jack Rudolph located?

Jack Rudolph practices at 540 College Ave, Medford, WI 54451. The listed phone number is (715) 748-3332.

What is Jack Rudolph's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Jack Rudolph accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica and Security Health Plan list Jack 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 Jack Rudolph was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.