Active NPI
Aundrea Denise Hudson, LMHC, NCC
- Mental Health Counselor
- Pensacola, FL
National Provider Identifier
1962270181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23135
- Practice address
- 9999 Chemstrand Rd
Pensacola, FL 32514-2724 - Phone
- (850) 471-3430
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH23135 | FL | Primary |
Addresses
Primary practice location
9999 Chemstrand Rd
Pensacola, FL 32514-2724
Mailing address
4727 Keyser LN
Pace, FL 32571-1511
Phone (850) 324-7838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2025 through Feb 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23135 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1962270181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 KEYSER LN",
"city": "PACE",
"state": "FL",
"postal_code": "325711511",
"telephone_number": "850-324-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9999 CHEMSTRAND RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325142724",
"telephone_number": "850-471-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "AUNDREA",
"middle_name": "DENISE",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.