1. Home
  2. Directory
  3. North Carolina
  4. Wilmington
  5. Counselor
  6. NPI Profile

MISS MICHELLE RENA RUDOLPH LCMHC
NPI 1790822369
Counselor - Mental Health in Wilmington, NC

Active since January 31, 2007
6752 PARKER FARM DR STE 100, WILMINGTON, NC 28405(910) 758-1362 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2022, May 26, 2022, Sep 21, 2018 and 1 more (4 updates tracked since 2016).

About Miss Michelle Rena Rudolph Lcmhc NPPES

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

MISS MICHELLE RENA RUDOLPH LCMHC (NPI 1790822369) is an individual mental health provider in Wilmington, North Carolina, licensed in North Carolina (11881) and active in the NPI registry since January 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790822369
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MICHELLE RENA RUDOLPHCredential: LCMHC
Location Address6752 PARKER FARM DR STE 100Wilmington, NC 28405-3175
Mailing Address6752 Parker Farm Dr Ste 100Wilmington, NC 28405-3175 · (910) 758-1362
Phone(910) 758-1362
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1790822369 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 NC · 11881
6752 PARKER FARM DR STE 100, Wilmington, NC 28405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11552 Tylertown Rd Apt 403Clarksville, TN 37040-2758 · Phone (910) 758-1362
Location 2211 S 2nd St Ste 207Clarksville, TN 37040-2201 · Phone (910) 806-5177

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES

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

ALINA LIS
Nurse Practitioner (Psychiatric/Mental Health)
6752 PARKER FARM DR STE 100
WILMINGTON, NC 28405
New Hanover County (910) 597-2829

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 Michelle Rudolph's NPI number?

The NPI number for Michelle Rudolph is 1790822369. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Michelle Rudolph located?

Michelle Rudolph practices at 6752 Parker Farm Dr Ste 100, Wilmington, NC 28405. The listed phone number is (910) 758-1362.

What is Michelle Rudolph's specialty?

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

What insurance does Michelle Rudolph accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee and UnitedHealthcare list Michelle 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 Michelle Rudolph was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.