Active NPI
Rick K Hudson, MSE, MS, LPC-IT
- Professional Counselor
- Monona, WI
National Provider Identifier
1780103226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3647-226
- Practice address
- 6117 Monona Dr Ste 1
Monona, WI 53716-4304 - Phone
- (608) 223-1506
- Fax
- (608) 223-1745
- NPI assigned
- Sep 15, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3647-226 | WI | Primary |
Addresses
Primary practice location
6117 Monona Dr Ste 1
Monona, WI 53716-4304
Mailing address
6117 Monona Dr Ste 1
Monona, WI 53716-4304
Phone (608) 223-1506
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3647-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Counseling Services LLC | Professional | Current | Accepting new patients |
Locations
6117 Monona Dr
Ste 1
Monona, WI 53716
Phone 6082231506 ext. 5
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": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780103226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6117 MONONA DR STE 1",
"city": "MONONA",
"state": "WI",
"postal_code": "537164304",
"telephone_number": "608-223-1506",
"fax_number": "608-223-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6117 MONONA DR STE 1",
"city": "MONONA",
"state": "WI",
"postal_code": "537164304",
"telephone_number": "608-223-1506",
"fax_number": "608-223-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "RICK",
"middle_name": "K",
"credential": "MSE, MS, LPC-IT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3647-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.