Individual provider Active NPI

Brenda Jo Hudnell, CT

  • Mental Health Counselor
  • Hillsboro, OH
National Provider Identifier
1346962578
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2204327-TRNE Issued in OH
Practice address
104 Erin CT
Hillsboro, OH 45133-8591
Phone
(937) 393-9720
Fax
(937) 393-9703
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C.2204327-TRNE OH Primary

Addresses

Primary practice location

104 Erin CT
Hillsboro, OH 45133-8591

Mailing address

4560 Rapid Forge Rd
Bainbridge, OH 45612-9420
Phone (937) 876-9991

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

LicenseStateTypeSpecialty
C.2204327-TRNEOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FRS Counseling Single Specialty CurrentSince Sep 20, 2022 Accepting new patients
FRS Counseling CurrentSince Sep 20, 2022 Accepting new patients

Locations

104 Erin Ct
Hillsboro, OH 45133
Phone (937) 393-4562

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1346962578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 RAPID FORGE RD",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "456129420",
            "telephone_number": "937-876-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ERIN CT",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338591",
            "telephone_number": "937-393-9720",
            "fax_number": "937-393-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNELL",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204327-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.