Patricia Dudley, MSED, LPCC-S, LICDC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.1700192-SUPV Issued in OH

Practice address

18 N Forge St
Akron, OH 44304-1317

Phone

(330) 762-0591

NPI assigned

Dec 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child Guidance & Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Akron, OH
  • NPI 1922105147
  NPD
• Child Guidance & Family Solutions

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1821127952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1003350729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N FORGE ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041317",
            "telephone_number": "330-762-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1293 Copley Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443202766",
            "country_code": "US",
            "telephone_number": "330-374-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "PATRICIA",
        "credential": "MSED, LPCC-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1400144",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1700192-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Psarras Duchon, MSSA, LISW
• Chanell Jomaye Duck
• Brandon Lamont Duckworth I
• Chrishawna Nicole Dudley
• Natasha T Dudley
• Emma Dudones
• India Chavonna Dues
• Diane K Duff, CRNP
• Rebecca S Duff, CDCA
• Regis F Duffy, CRNA

• Mental Health Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.