Active NPI
Kathryn Hudson
- Professional Counselor
- Mobile, AL
National Provider Identifier
1750899084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C2841A
- Practice address
- 300 State St
Mobile, AL 36603-6425 - Phone
- (251) 769-1108
- NPI assigned
- Jan 22, 2018
- Last updated
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C2841A | AL | Primary |
Addresses
Primary practice location
300 State St
Mobile, AL 36603-6425
Mailing address
300 State St
Mobile, AL 36603-6425
Phone (251) 769-1108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | N/A |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C2841A | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day 1 Counseling | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1528733615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1750899084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STATE ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366036425",
"telephone_number": "251-769-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366036425",
"telephone_number": "251-769-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AL",
"license": "C2841A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "000000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.