Active NPI
Charles A Hudson
- Mental Health Counselor
- West Monroe, LA
National Provider Identifier
1295190841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 465660466
- Practice address
- 307 North 6TH
West Monroe, LA 71291 - Phone
- (504) 289-8360
- NPI assigned
- Dec 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 465660466 | LA | Primary |
Addresses
Primary practice location
307 North 6TH
West Monroe, LA 71291
Mailing address
307 N 6TH St
West Monroe, LA 71291-4020
Phone (504) 289-8360
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 465660466 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1295190841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 N 6TH ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914020",
"telephone_number": "504-289-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NORTH 6TH",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "71291",
"telephone_number": "504-289-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "465660466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.