Individual provider Active NPI

Gordon Hudson, MSW LPC PHD

  • Counselor
  • San Antonio, TX
National Provider Identifier
1912081761
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
8296 Issued in TX
Practice address
325 E Sonterra Blvd
Ste. #230
San Antonio, TX 78258-4054
Phone
(210) 545-6860
Fax
(210) 545-6869
NPI assigned
Oct 25, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8296 TX Primary
Marriage & Family Therapist 106H00000X 001236-042307 TX

Addresses

Primary practice location

325 E Sonterra Blvd
Ste. #230
San Antonio, TX 78258-4054

Mailing address

325 E Sonterra Blvd
Ste. #230
San Antonio, TX 78258-4054
Phone (210) 545-6860

Other identifiers 2

IdentifierTypeStateIssuer
84464LOtherTXBLUE CROSS/BLUE SHIELD
1458846-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250904003540 TX Practitioner - Mental Health Counselor 2365944881 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1091 Hidden Oaks Dr
Bulverde, TX 78163-3050

325 E Sonterra Blvd
Suite 230
San Antonio, TX 78258-4056
Phone (210) 538-1970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001236-042307TXMDMarriage & Family Therapist

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, 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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1912081761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "STE. #230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-545-6860",
            "fax_number": "210-545-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "STE. #230",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-545-6860",
            "fax_number": "210-545-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "MSW LPC PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "8296",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "001236-042307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "84464L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458846-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.