Gregory J Dudzinski, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401009016 Issued in MI

Practice address

21751 W 11 Mile Rd Ste 204
Southfield, MI 48076-3779

Phone

(313) 614-9498

Fax

(313) 930-6133

NPI assigned

Mar 29, 2006

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 names 1

• Mr. Gregory J Dudzinski Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1124089164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21751 W 11 MILE RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763779",
            "telephone_number": "313-614-9498",
            "fax_number": "313-930-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21751 W 11 MILE RD STE 204",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763779",
            "telephone_number": "313-614-9498",
            "fax_number": "313-930-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZINSKI",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401009016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "DUDZINSKI",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "MS LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ankita Dubey, MD
• Darlene Dubose, CPSS
• Leah Dudley
• Queonja Dudley, PHARMD
• Matthew Dudun, BEHAVIOR TECHNICIAN
• Duetel Babies
• Hayden Joseph Duff
• Addison Dukes
• Faith Dukes
• Holly Dukes

• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.