Individual provider Active NPI

Emily R Ludwig, LPCC, LPA

  • Professional Counselor
  • Radcliff, KY
National Provider Identifier
1780814665
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
245537 Issued in KY
Practice address
1072 S Dixie Blvd
Radcliff, KY 40160-1103
Phone
(270) 351-8166
Fax
(270) 351-8322
NPI assigned
Jul 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 245537 KY Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1072 S Dixie Blvd
Radcliff, KY 40160-1103

Mailing address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2024 through Feb 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
245537KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbs Treatment Solutions Mental Health CurrentSince Aug 8, 2021 Accepting new patients
Gibbs Treatment Solutions CurrentSince Feb 9, 2020 Accepting new patients

Organizations & group practices 2

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": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1780814665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-234-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 S DIXIE BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601103",
            "telephone_number": "270-351-8166",
            "fax_number": "270-351-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "LPCC, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-25",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "245537",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.