Individual provider Active NPI

Suzanne D Hudson, LPC

  • Professional Counselor
  • Bedford, VA
National Provider Identifier
1679664940
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003533 Issued in VA
Practice address
1409 Old Dominion Blvd
Bedford, VA 24523-3285
Phone
(540) 586-5429
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701003533 VA Primary

Addresses

Primary practice location

1409 Old Dominion Blvd
Bedford, VA 24523-3285

Mailing address

1409 Old Dominion Blvd
Bedford, VA 24523-3285
Phone (540) 586-5429

Other identifiers 3

IdentifierTypeStateIssuer
004945441MedicaidVA
540843527009OtherVAHEALTHNET FEDERAL
178398OtherVAANTHEM BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240110003820 VA Practitioner - Mental Health Counselor 0042661365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Behavioral HealthGroup PAC ID 5092791814, 37 clinicians

Practice addresses (Care Compare)

1409 Ole Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003533VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

120 W Commerce St
Amherst, VA 24521
Phone (434) 847-8004

1409 Old Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429

2215 Langhorne Rd
Ste 104
Lynchburg, VA 24501
Phone (434) 455-3045

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

37 Village Hwy
Rustburg, VA 24588
Phone (434) 332-5149

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1679664940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OLD DOMINION BLVD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233285",
            "telephone_number": "540-586-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 OLD DOMINION BLVD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233285",
            "telephone_number": "540-586-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SUZANNE",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945441",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL",
            "identifier": "540843527009",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "178398",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, VA

Sources for this page

Verify at the official NPI Registry.