Thomas Walter Hudson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84882 Issued in TX

Practice address

620 Stoneglen Dr
Keller, TX 76248-1315

Phone

(817) 562-8800

NPI assigned

Jul 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redefine LLCGroup PAC ID 4284071879, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Redefine LLC

  • Marriage & Family Therapist
  • Keller, TX
  • NPI 1134773997
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1528747813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E HAWKINS PKWY APT 2706",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756053825",
            "telephone_number": "804-833-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 STONEGLEN DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481315",
            "telephone_number": "817-562-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "THOMAS",
        "middle_name": "WALTER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Catherine Howard, BSN, RN
• Hoyt Chiropractic (Hoyt Laney Chiropractic and Sports Therapy)
• Amanda Hubbard
• Lael David Hubbard
• Bailey Huckins, BCBA
• Cara Hughes, PT, DPT
• Landon Todd Hughes, MS, CCC-SLP
• Natalie Lynn Humphries
• Erica Hyatt, LMFT-A
• Ideal Dental of Keller PLLC

• Professional Counselor in Keller, TX
• Providers in Keller, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.