Individual provider Active NPI

Patricia Finaldi Hudson, MS, CRC

  • Mental Health Counselor
  • Keizer, OR
National Provider Identifier
1255640421
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2659 Issued in OR
Practice address
113 McNary Estates Dr N
Suite D
Keizer, OR 97303-7488
Phone
(503) 588-0777
Fax
(503) 214-2654
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2659 OR Primary
Mental Health Counselor 101YM0800X 00097822

Addresses

Primary practice location

113 McNary Estates Dr N
Suite D
Keizer, OR 97303-7488

Mailing address

113 McNary Estates Dr N
Suite D
Keizer, OR 97303-7488
Phone (503) 588-0777

Other identifiers 1

IdentifierTypeStateIssuer
00097822OtherCERTIFIED REHABILITATION COUNSELOR

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
Master of Science

State licenses

LicenseStateTypeSpecialty
C2659ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1255640421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MCNARY ESTATES DR N",
            "address_2": "SUITE D",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037488",
            "telephone_number": "503-588-0777",
            "fax_number": "503-214-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MCNARY ESTATES DR N",
            "address_2": "SUITE D",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037488",
            "telephone_number": "503-588-0777",
            "fax_number": "503-214-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "PATRICIA",
        "middle_name": "FINALDI",
        "name_prefix": "Ms.",
        "credential": "MS, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2659",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "00097822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REHABILITATION COUNSELOR",
            "identifier": "00097822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.