Individual provider Active NPI

Nathaniel Isaiah Hudson, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1336512151
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13606 Issued in FL
Practice address
7711 N Military TRL
West Palm Beach, FL 33410-6506
Phone
(561) 847-5688
NPI assigned
Nov 2, 2015
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH13606 FL Primary

Addresses

Primary practice location

7711 N Military TRL
West Palm Beach, FL 33410-6506

Mailing address

14540 62ND CT N
Loxahatchee, FL 33470-4583
Phone (561) 847-5688

Other practice location 1

9857 Baywinds Dr
9301
West Palm Beach, FL 33411-1842
Phone (561) 847-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2025 through Jan 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH13606FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Center LLC Mental Health CurrentSince Nov 26, 2023 Accepting new patients
Nih Holdings LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

7711 N Military Trl
West Palm Beach, FL 33410
Phone (561) 460-0284

7711 N Military Trl
Ste 1014
West Palm Beach, FL 33410
Phone (561) 847-3277

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1336512151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 62ND CT N",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704583",
            "telephone_number": "561-847-5688",
            "fax_number": "561-408-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 N MILITARY TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106506",
            "telephone_number": "561-847-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9857 Baywinds Dr",
            "address_2": "9301",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334111842",
            "country_code": "US",
            "telephone_number": "561-847-5688",
            "fax_number": "561-408-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "NATHANIEL",
        "middle_name": "ISAIAH",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.