Individual provider Active NPI

John W Ludgate, PH.D.

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1871564872
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3540 Issued in NC
Practice address
417 Biltmore Ave
Suite 2E
Asheville, NC 28801-4543
Phone
(828) 350-1177
Fax
(828) 350-1188
NPI assigned
Jan 28, 2006
Last updated
Nov 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3540 NC Primary

Addresses

Primary practice location

417 Biltmore Ave
Suite 2E
Asheville, NC 28801-4543

Mailing address

417 Biltmore Ave
Suite 2E
Asheville, NC 28801-4543
Phone (828) 359-1177

Other identifiers 3

IdentifierTypeStateIssuer
220800OtherVAVALUEOPTIONS
285526OtherVAANTHEM BLUE CROSS
007703171MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101208001278 NC Practitioner - Clinical Psychologist 7315919289

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1085 Tunnel Rd
7A
Asheville, NC 28805-2039

11000 Optum Cir
Eden Prairie, MN 55344-2503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3540NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Oct 9, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Oct 9, 2024 Accepting new patients
SW VA Psychological Services PastSince Jan 1, 1990 Accepting new patients
Recovering Life PC Clinical Past Accepting new patients
Life Recovery LLC Clinical Past Accepting new patients
Jennifer L. Blankenship, L.C.S.W., P.C. Past Accepting new patients

Locations

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

2 Walden Ridge Dr
Ste 80
Asheville, NC 28803
Phone (828) 708-5274

2 Walden Ridge Dr
Ste 90
Asheville, NC 28803
Phone (828) 579-2393

7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1871564872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "SUITE 2E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-359-1177",
            "fax_number": "828-350-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE",
            "address_2": "SUITE 2E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014543",
            "telephone_number": "828-350-1177",
            "fax_number": "828-350-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDGATE",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "220800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "285526",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007703171",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.