Active NPI
Hudson Carroll, LMHC
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1336857416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012967
- Practice address
- 522 W Riverside Ave # 7231
Spokane, WA 99201-0580 - Phone
- (646) 450-1646
- NPI assigned
- Nov 8, 2022
- 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 | 012967 | NY | Primary |
Addresses
Primary practice location
522 W Riverside Ave # 7231
Spokane, WA 99201-0580
Mailing address
522 W Riverside Ave # 7231
Spokane, WA 99201-0580
Other practice location 1
2101 4th Ave Ste 1850
Seattle, WA 98121-2360
Phone (415) 202-5159
Other practice location 2
418 Broadway # 10216
Albany, NY 12207-2922
Phone (646) 450-1646
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 |
|---|---|---|---|
| 012967 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North River Psychotherapy | Mental Health | Current | Accepting new patients |
| Two Chairs Behavioral Health Group, a Psychology Corporation | Past | Accepting new patients |
Locations
418 Broadway
#10216
Albany, NY 12207
Phone (646) 450-1646
522 W Riverside Ave
#7231
Spokane, WA 99201
Phone (646) 450-1646
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Spokane, WA
- NPI 1447140553
-
- Professional Counselor
- San Francisco, CA
- NPI 1629515705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1336857416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE # 7231",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W RIVERSIDE AVE # 7231",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010580",
"telephone_number": "646-450-1646"
}
],
"practiceLocations": [
{
"address_1": "2101 4th Ave Ste 1850",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981212360",
"country_code": "US",
"telephone_number": "415-202-5159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "418 Broadway # 10216",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122072922",
"country_code": "US",
"telephone_number": "646-450-1646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "HUDSON",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-08",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "012967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.