Active NPI
Kelly Kathleen Hudelson
- School Counselor
- Stockton, CA
National Provider Identifier
1306708805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 240183314
- Practice address
- 915 Rosemarie LN
Stockton, CA 95207-6803 - Phone
- (209) 888-0160
- NPI assigned
- Dec 2, 2025
- Last updated
- Dec 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 240183314 | CA | Primary |
Addresses
Primary practice location
915 Rosemarie LN
Stockton, CA 95207-6803
Mailing address
5981 Riverbank Cir
Stockton, CA 95219-2521
Phone (209) 922-1112
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 |
|---|---|---|---|
| 240183314 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1306708805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5981 RIVERBANK CIR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192521",
"telephone_number": "209-922-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 ROSEMARIE LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076803",
"telephone_number": "209-888-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDELSON",
"first_name": "KELLY",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "240183314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.