1. Home
  2. Directory
  3. California
  4. Hemet
  5. Marriage Family Therapist
  6. NPI Profile

JESSICA CANADA-RUDOLPH
NPI 1710577978
Marriage & Family Therapist in Hemet, CA

Active since January 21, 2021PECOS Enrolled
1105 E FLORIDA AVE, HEMET, CA 92543(951) 439-2939 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2022, Jan 21, 2021 (2 updates tracked since 2021).

About Jessica Canada-rudolph NPPES

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

JESSICA CANADA-RUDOLPH (NPI 1710577978) is an individual marriage & family therapist in Hemet, California, licensed in California (131822) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710577978
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA CANADA-RUDOLPH
Location Address1105 E FLORIDA AVEHemet, CA 92543-4512
Mailing Address31775 Middlebrook LnMenifee, CA 92584-7478
Phone(951) 439-2939
Sole ProprietorNo
Enumeration DateJanuary 21, 2021
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1710577978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 131822
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1105 E FLORIDA AVE, Hemet, CA 92543
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Canada-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 20

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

YUREL OLIVARES
Day Training/Habilitation Specialist
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939
LAWRENCE YU M.D.
Psychiatry & Neurology (Psychiatry)
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939
MRS. ADRIANA SMITH MSW
Social Worker
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939
MARGARITA RAMIREZ
Marriage & Family Therapist
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 349-5365
MARIA ZAVALA
Social Worker (Clinical)
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939
MARTHA ROJAS
Social Worker
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (000) 000-0000
LEESLY LILIANA ANGELES ROSAS
Social Worker
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939
SONYA MARIE BRANNAN AMFT
Marriage & Family Therapist
1105 E FLORIDA AVE
HEMET, CA 92543
Riverside County (951) 439-2939

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 Jessica Canada-rudolph's NPI number?

The NPI number for Jessica Canada-rudolph is 1710577978. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Jessica Canada-rudolph located?

Jessica Canada-rudolph practices at 1105 E Florida Ave, Hemet, CA 92543. The listed phone number is (951) 439-2939.

What is Jessica Canada-rudolph's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jessica Canada-rudolph enrolled in Medicare?

Yes. Jessica Canada-rudolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Canada-rudolph was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.