MISS KRISTEN SUZANNE RUDOLF
NPI 1760937692
Counselor - Mental Health in Eugene, OR

Active since August 21, 2016Opted out of Medicare · through Nov 11, 2027
115 W 8TH AVE STE 300, EUGENE, OR 97401(541) 243-7544 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Jan 18, 2023, Apr 12, 2021 and 2 more (5 updates tracked since 2016).

About Miss Kristen Suzanne Rudolf NPPES

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

MISS KRISTEN SUZANNE RUDOLF (NPI 1760937692) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (C7820) and active in the NPI registry since August 2016. She has opted out of Medicare through November 11, 2027.

NPPES Registry Identity

NPI1760937692
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS KRISTEN SUZANNE RUDOLF
Location Address115 W 8TH AVE STE 300Eugene, OR 97401-2997
Mailing AddressPo Box 1530Waldport, OR 97394-1530 · (650) 468-0003
Sole ProprietorNo
Enumeration DateAugust 21, 2016
Last NPPES UpdateJanuary 30, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
NPI 1760937692 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 OR · C7820
115 W 8TH AVE STE 300, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Miss Kristen Suzanne Rudolf has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 11, 2025 through November 11, 2027.

Opt-Out Effective DateNovember 11, 2025
Opt-Out In Effect ThroughNovember 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
115 W 8TH AVE STE 300
EUGENE, OR 97401
Marriage & Family Therapist
115 W 8TH AVE STE 300
EUGENE, OR 97401
Counselor (Professional)
115 W 8TH AVE STE 300
EUGENE, OR 97401
Counselor (Professional)
115 W 8TH AVE STE 300
EUGENE, OR 97401
Counselor
115 W 8TH AVE STE 300
EUGENE, OR 97401
Social Worker (Clinical)
115 W 8TH AVE STE 300
EUGENE, OR 97401
Social Worker
115 W 8TH AVE STE 300
EUGENE, OR 97401
Counselor (Mental Health)
115 W 8TH AVE STE 300
EUGENE, OR 97401

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 Kristen Rudolf's NPI number?

The NPI number for Kristen Rudolf is 1760937692. It was assigned to this individual provider in the NPPES registry on August 21, 2016.

Where is Kristen Rudolf located?

Kristen Rudolf practices at 115 W 8th Ave Ste 300, Eugene, OR 97401. The listed phone number is (541) 243-7544.

What is Kristen Rudolf's specialty?

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

Is Kristen Rudolf enrolled in Medicare?

No. Kristen Rudolf has opted out of Medicare through November 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kristen Rudolf accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kristen Rudolf 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 Kristen Rudolf was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.