Deborah Trudell, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012040482 Issued in MO

Practice address

508 N Truman Blvd Ste J
Crystal City, MO 63019-1344

Phone

(636) 232-8328

Fax

(888) 388-2740

NPI assigned

Apr 2, 2015

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trudell Counseling

  • Professional Counselor
  • Crystal City, MO
  • NPI 1194597674
  NPD Authorized official
• Trudell Counseling LLC

  • Professional Counselor
  • Crystal City, MO
  • NPI 1184516668
  NPD Authorized official
• Tender Hearts Child Therapy Center, LLC

  dba Tender Hearts Child Therapy Center

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1568777910
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1780079053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12764 STATE ROAD TT",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284345",
            "telephone_number": "636-232-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD STE J",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "636-232-8328",
            "fax_number": "888-388-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "DEBORAH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC2079",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012040482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Thomas, MA, LPC
• Trinity Family Chiropractic, LLC
• Trudell Counseling
• Trudell Counseling LLC
• Amber Lynn Trudell, LMSW
• Twin City Healt Services
• Twin City Residential Care, Inc.
• William L Underwood, MD
• Urology Today, LLC
• Campbell Walters, DMD

• Professional Counselor in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.