Brian Ludden

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13947 Issued in FL

Practice address

10242 Bear Valley Rd
Jacksonville, FL 32257-5934

Phone

(904) 251-4564

NPI assigned

Feb 6, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1831557768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9958 TIMBER FALLS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10242 BEAR VALLEY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575934",
            "telephone_number": "904-251-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDDEN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH13947",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille'S Loving Care Services, Inc.
• Maria Alith Lucion, RPT
• Kim Danielle Lucker-Greene, BCBA-D
• Kaitlyn Luckock, MD
• Dede Luczak, OWNER
• Nicole Ludwick
• Benjamin John Ludwig, MD
• Paula Leigh Ludwig
• Courtney Jane Luedtke, PA-C
• Diego Luevanos-Trejo, MT-BC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.