Patricia Dudley, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8140 Issued in MD

Practice address

6659 Buckstone CT
Columbia, MD 21044-4103

Phone

(301) 537-4740

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Vision Counseling, LLC

  • Professional Counselor
  • Columbia, MD
  • NPI 1487275343
  NPD Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1871132233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 BUCKSTONE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444103",
            "telephone_number": "301-537-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 BUCKSTONE CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444103",
            "telephone_number": "301-537-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "PATRICIA",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS",
            "identifier": "LC8140",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Dubovi
• Joy D Dubrovich, PA C
• Marlon Ducrepin
• Crystal Ducros
• Lynn Marie Dudley, P.A.
• Sara Aileen Dudley, M.D.
• Duet ABA Therapy, LLC
• Angela Duffey, RN
• Margaret Susan Duffy
• Jacob Austin Dugan, LCSW-C

• Professional Counselor in Columbia, MD
• Providers in Columbia, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.