Individual provider Active NPI

Deborah Kay Hudson, MA MT-BC, RIC

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1811713084
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704017561 Issued in VA
Practice address
137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294
Phone
(434) 515-2041
NPI assigned
Dec 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704017561 VA Primary
Music Therapist 225A00000X 19218

Addresses

Primary practice location

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294

Mailing address

137 Laxton Rd Ste 200
Lynchburg, VA 24502-5294
Phone (434) 515-2041

Other practice location 1

2340 Commonwealth Dr Ste 101
Charlottesville, VA 22901-1634
Phone (434) 214-6556

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

LicenseStateTypeSpecialty
0704017561VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebulb LLC Mental Health PastSince Dec 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1811713084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-515-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 LAXTON RD STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025294",
            "telephone_number": "434-515-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Commonwealth Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229011634",
            "country_code": "US",
            "telephone_number": "434-214-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "MA MT-BC, RIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017561",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "19218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.