Andrea Poet Hudson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08077 Issued in OH

Practice address

20525 Detroit Rd Ste 10
Rocky River, OH 44116-2444

Phone

(216) 800-6647

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Denise Poet Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holistic Wellness Solutions LLCGroup PAC ID 6002243755, 10 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 and National Provider Directory roles.

• Andrea Hudson, Psy.D. LLC

  • Psychologist
  • Rocky River, OH
  • NPI 1467170522
  Medicare reassignment NPD Authorized official
• Holistic Wellness Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1063932119
  Medicare reassignment Care Compare group NPD
• Holistic Wellness Solutions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1588261929
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1649890898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 10",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 10",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-800-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ANDREA",
        "middle_name": "POET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "POET",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Earl Hooper, O.D.
• Maria Housel, M.A. CCC-SLP
• Samantha Hovanic, LISW-S
• Jeffrey David Hower II, ATC
• Natalia Hryniewicz, APRN
• Elana Hunter
• Donard Idada, LISW
• Katherine Ingleright
• Innovative Perspectives, Inc.
• Irina Bransteter LLC

• Psychologist in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.