Holley Noel Wrangler Hudson, LPC
Individual provider Active NPI Professional Counselor · Sedalia, MO
NPI 1982173472 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1982173472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2018040831 (MO)
- Practice address
- 1700 W Main St
Sedalia, MO 65301-3635 - Phone
- (888) 403-1071
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Compass Health Inc
Practice addresses (Care Compare)
1700 W Main St
Sedalia, MO 65301-3635
Phone (888) 403-1071
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231211001854 | MO | Practitioner - Mental Health Counselor | 8123418076 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018040831 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc | Current |
Accepting new patients | |
| Compass Health, Inc. | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1700 W Main St
Sedalia, MO 65301
Phone (660) 826-5885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018040831 | MO | Yes |
Addresses
Primary practice location
1700 W Main St
Sedalia, MO 65301-3635
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other names
- Holley Holter
Other providers in Sedalia, MO
- Jeffery W. Holloway
- Juanita Holmes
- Roger Dale Hopkins
- Shirley Mae Horacek
- David Wayne Howe
- Janis E Hughes
- William Hunter
- Jennifer T Hurley
- Vladislav Andreyevich Husyev
- Dana Lea Hutchison
All providers in Sedalia, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.