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DESTREE LYNN RUDOLPH MS, CRC
NPI 1851878797
Counselor - Mental Health in Dallas, OR

Active since July 24, 2018
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289(503) 831-1726 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Destree Lynn Rudolph Ms, Crc NPPES

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

DESTREE LYNN RUDOLPH MS, CRC (NPI 1851878797) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1851878797
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDESTREE LYNN RUDOLPHCredential: MS, CRC
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address182 Sw Academy StDallas, OR 97338-1996 · (503) 623-9289 · Fax (503) 831-1726
Phone(503) 623-9289
Fax(503) 831-1726
Sole ProprietorNo
Enumeration DateJuly 24, 2018
✔ NPI 1851878797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
182 SW ACADEMY ST, Dallas, OR 97338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

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.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Destree Rudolph's NPI number?

The NPI number for Destree Rudolph is 1851878797. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Destree Rudolph located?

Destree Rudolph practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Destree Rudolph's specialty?

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

What insurance does Destree Rudolph accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Destree 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 Destree Rudolph was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.