KS Hudgins Professional Counseling and Consulting Group, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KS HUDGINS PROFESSIONAL COUNSELING AND CONSULTING GROUP, LLC

Practice address

218 5TH St S Ste 3
Columbus, MS 39701-5730

Phone

(662) 368-8853

Fax

(877) 920-2150

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Shelton-Hudgins, LCSWNPI 1770761884

Title

Owner and Lead Therapist

Phone

(662) 425-4879

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Shelton-Hudgins, LCSW

  • Clinical Social Worker
  • Columbus, MS
  • NPI 1770761884

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1780314153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8830",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050014",
            "telephone_number": "662-425-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 5TH ST S STE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397015730",
            "telephone_number": "662-368-8853",
            "fax_number": "877-920-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS HUDGINS PROFESSIONAL COUNSELING AND CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON-HUDGINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER AND LEAD THERAPIST",
        "authorized_official_telephone_number": "662-425-4879",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08602526",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexys Knell, MSN, APRN, FNP-C
• Sarah Koehler, CRNA
• Hema Manvi Koneru
• Nikki Kraft
• Kroger Limited Partnership I
• Ishani Deepak Kudtarkar, MD
• Laboratory Corporation of America Holdings
• Emily Wilson Lackey, OTR/L
• Linda Lamison, NP
• Jene Berry Landrum

• Clinical Social Worker in Columbus, MS
• Providers in Columbus, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.