Active NPI
Deedra Lee Hudson, LCAS-A
- Addiction (Substance Use Disorder) Counselor
- Forest City, NC
National Provider Identifier
1417744822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29146
- Practice address
- 184 Bentwood Dr
Forest City, NC 28043-1719 - Phone
- (828) 429-6188
- NPI assigned
- Apr 21, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29146 | NC | Primary |
Addresses
Primary practice location
184 Bentwood Dr
Forest City, NC 28043-1719
Mailing address
184 Bentwood Dr
Forest City, NC 28043-1719
Phone (828) 429-6188
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 |
|---|---|---|---|
| 29146 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1417744822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BENTWOOD DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280431719",
"telephone_number": "828-429-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BENTWOOD DR",
"city": "FOREST CITY",
"state": "NC",
"postal_code": "280431719",
"telephone_number": "828-429-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "DEEDRA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "29146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.