Individual provider Active NPI

Stephen Ludy, CADC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
National Provider Identifier
1578872800
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1138 AD Issued in MA
Practice address
44 Front St
Suite 490
Worcester, MA 01608-1733
Phone
(508) 799-0702
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1138 AD MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 34 MA

Addresses

Primary practice location

44 Front St
Suite 490
Worcester, MA 01608-1733

Mailing address

122 Amherst St
Worcester, MA 01602-2037
Phone (508) 751-6748

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
1138 ADMAMDAddiction (Substance Use Disorder) Counselor
34MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1578872800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 AMHERST ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022037",
            "telephone_number": "508-751-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FRONT ST",
            "address_2": "SUITE 490",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081733",
            "telephone_number": "508-799-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDY",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CADC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1138 AD",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "34",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.