Individual provider Active NPI

Denita Nicole Hudson, PH.D., LMHCA

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1114564341
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88000873A Issued in IN
Practice address
3500 Depauw Blvd Ste 1050
Indianapolis, IN 46268-6125
Phone
(317) 471-8996
Fax
(317) 471-8994
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.0007487 OH
Mental Health Counselor 101YM0800X 88000873A IN Primary

Addresses

Primary practice location

3500 Depauw Blvd Ste 1050
Indianapolis, IN 46268-6125

Mailing address

PO Box 33
Clayton, OH 45315-0033
Phone (937) 750-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
88000873AINMDMental Health Counselor
C.0007487OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Well Counseling and Consulting Group PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1114564341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "CLAYTON",
            "state": "OH",
            "postal_code": "453150033",
            "telephone_number": "937-750-4463",
            "fax_number": "317-471-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 1050",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686125",
            "telephone_number": "317-471-8996",
            "fax_number": "317-471-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DENITA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.0007487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.