Active NPI
Maria Cruz Dudley, MS, LPC
- Mental Health Counselor
- Killeen, TX
National Provider Identifier
1962983148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76396
- Practice address
- 2201 S W S Young Dr Ste 116a
Killeen, TX 76543-5314 - Phone
- (254) 213-3705
- Fax
- (254) 230-1007
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 76396 | TX | |
| Professional Counselor | 101YP2500X | 76396 | TX | |
| Mental Health Counselor | 101YM0800X | 76396 | TX | Primary |
Addresses
Primary practice location
2201 S W S Young Dr Ste 116a
Killeen, TX 76543-5314
Mailing address
415 E FM 2410 Rd Unit 2264
Harker Heights, TX 76548-2912
Other practice location 1
4100 Mesa Dr
Killeen, TX 76542-3156
Phone (254) 213-3705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76396 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellow Ribbon Counseling PLLC | Counselor | Current | Accepting new patients |
Locations
4100 Mesa Dr
Killeen, TX 76542
Phone (254) 213-3705
2201 S W S Young Dr
Ste 116A
Killeen, TX 76543
Phone (254) 213-3705
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1962983148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E FM 2410 RD UNIT 2264",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765482912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S W S YOUNG DR STE 116A",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765435314",
"telephone_number": "254-213-3705",
"fax_number": "254-230-1007"
}
],
"practiceLocations": [
{
"address_1": "4100 Mesa Dr",
"address_purpose": "LOCATION",
"city": "Killeen",
"state": "TX",
"postal_code": "765423156",
"country_code": "US",
"telephone_number": "254-213-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDLEY",
"first_name": "MARIA",
"middle_name": "CRUZ",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "76396",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76396",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.