Bradley Robert Hudson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-234 Issued in WY

Practice address

201 W Lakeway Rd Ste 902
Gillette, WY 82718-6345

Phone

(307) 209-4649

Fax

(307) 381-0493

NPI assigned

Oct 5, 2017

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Renewal Therapy of Wy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gillette, WY
  • NPI 1720857030
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1063922920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 902",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186345",
            "telephone_number": "307-209-4649",
            "fax_number": "307-381-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD STE 902",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186345",
            "telephone_number": "307-209-4649",
            "fax_number": "307-381-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163728",
            "country_code": "US",
            "telephone_number": "307-682-2034 x109",
            "fax_number": "307-682-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WY",
            "license": "LMFT-234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EINS",
            "identifier": "922436337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrica L Huber, DPT
• Kris Huber
• Jessica Lee Huckins, RNFA
• Marty Ray Huckins, CAP, CCDC III, ICADC
• Devery Brianne Huddleston, PT, DPT
• Michael K. Hughes, O. D.
• Carly Jo Hunter, MS, LPC, NCC
• Scott R Hunter, BA DC
• Crystal Huntrods, PHARM.D.
• Jamie S Hurich, PPC

• Marriage & Family Therapist in Gillette, WY
• Providers in Gillette, WY by specialty
• Marriage & Family Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.