Active NPI
Anthony Duff Ludlum, LPC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1669138871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-20473
- Practice address
- 14300 N Northsight Blvd Ste 101
Scottsdale, AZ 85260-3673 - Phone
- (602) 550-0175
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-20473 | AZ | Primary |
Addresses
Primary practice location
14300 N Northsight Blvd Ste 101
Scottsdale, AZ 85260-3673
Mailing address
3801 W Ironwood Dr
Phoenix, AZ 85051-1154
Phone (602) 315-7928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20473 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma Healing Center LLC | Mental Health | Current | Accepting new patients |
Locations
14300 N Northsight Blvd
Ste 101
Scottsdale, AZ 85260
Phone (480) 390-2610
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Scottsdale, AZ
- NPI 1184281867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1669138871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 W IRONWOOD DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850511154",
"telephone_number": "602-315-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 N NORTHSIGHT BLVD STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603673",
"telephone_number": "602-550-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLUM",
"first_name": "ANTHONY",
"middle_name": "DUFF",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-12-03",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-20473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.