Mrs. Mary Rudolph is a Erie, Pennsylvania based counselor with 11 years of experience in Mental Health Counselor. She completed her graduation from Other in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Mary Rudolph is CW019986 for Mental Health Counselor in . Her current practice location is 4190 E Lake Rd, Erie. Patients can book an appointment with her at 814-616-2858.
Mrs. Mary Rudolph is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mrs. Mary Rudolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Mary Rudolph
Specialization:
Mental Health Counselor
Gender:
Female
Experience:
11+ years
Medical School Attended:
Other
Graduation Year:
2014
Accepts Medicare Assignment:
Yes
Practice Address:
4190 E Lake Rd, Erie, Pennsylvania, 16511
Phone:
814-616-2858
Fax:
814-616-2860
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335480565
Enrollment ID:
I20190416001393
NPI Number:
1174910855
NPI Enumeration Date:
21 Apr, 2015
NPI Last Update On:
18 Feb, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Mary Rudolph are as mentioned below.
License Number
Specialization
State
Status
CW019986
Mental Health Counselor
Primary
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4190 E Lake Rd, Erie, Pennsylvania
Zip:
16511-1355
Phone Number:
814-616-2858
Fax Number:
814-616-2860
Patients can reach Mrs. Mary Rudolph at 4190 E Lake Rd, Erie, Pennsylvania or can call to book an appointment on 814-616-2858. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.