Individual provider Active NPI

Edward Charles Dudding, NCC, LPC

  • Mental Health Counselor
  • Coeur D Alene, ID
National Provider Identifier
1992017354
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-4387 Issued in ID
Practice address
421 E Coeur Dalene Ave
Coeur D Alene, ID 83814-1704
Phone
(208) 664-1606
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-4387 ID
Mental Health Counselor 101YM0800X LPC-4387 ID Primary

Addresses

Primary practice location

421 E Coeur Dalene Ave
Coeur D Alene, ID 83814-1704

Mailing address

PO Box 3745
Coeur D Alene, ID 83816-2529
Phone (208) 664-1606

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

State licenses

LicenseStateTypeSpecialty
LPC-4387IDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1992017354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3745",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838162529",
            "telephone_number": "208-664-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E COEUR DALENE AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141704",
            "telephone_number": "208-664-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDING",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LPC-4387",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.