Active NPI
Michele L Dudley, MS, LMHP, LPC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1285852350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3703
- Practice address
- 7602 Pacific St Ste 205
Omaha, NE 68114-5405 - Phone
- (402) 651-3860
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 3703 | NE | Primary |
Addresses
Primary practice location
7602 Pacific St Ste 205
Omaha, NE 68114-5405
Mailing address
7602 Pacific St Ste 205
Omaha, NE 68114-5405
Phone (402) 651-3860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025485800 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3703 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele Dudley LMHP | Current | Accepting new patients | |
| Southern Sudan Comm Ass | Mental Health | Past | Accepting new patients |
Locations
7602 Pacific St
Ste 205
Omaha, NE 68114
Phone (402) 516-6256
Organizations & group practices 2
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.
-
dba Michele L Dudley MS LMHP LPC
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1760269872
-
- Mental Health Counselor
- Omaha, NE
- NPI 1861518763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1285852350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7602 PACIFIC ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145405",
"telephone_number": "402-651-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7602 PACIFIC ST STE 205",
"city": "OMAHA",
"state": "NE",
"postal_code": "681145405",
"telephone_number": "402-651-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "MICHELE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MS, LMHP, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025485800",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.