JUSTINA ANNE DUDLEY LPC
NPI 1215536750
Counselor - Professional in Milwaukie, OR
About Justina Anne Dudley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTINA ANNE DUDLEY LPC (NPI 1215536750) is an individual professional provider in Milwaukie, Oregon, licensed in Oregon (C8896) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justina Anne Dudley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Justina Dudley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 73 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKIE, OR 97222
MILWAUKIE, OR 97222
MILWAUKIE, OR 97222
PORTLAND, OR 97222
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justina Dudley's NPI number?
The NPI number for Justina Dudley is 1215536750. It was assigned to this individual provider in the NPPES registry on October 24, 2020.
Where is Justina Dudley located?
Justina Dudley practices at 6400 SE Lake Rd, Milwaukie, OR 97222. The listed phone number is (541) 900-4285.
What is Justina Dudley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Justina Dudley enrolled in Medicare?
Yes. Justina Dudley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Justina Dudley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justina Dudley reassigns Medicare benefits to Roseburg Therapy LLC (Roseburg, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justina Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justina Dudley accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Justina Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justina Dudley was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justina Anne Dudley, LPC · NPI 1215536750
Professional provider in Milwaukie, Oregon. Individual provider, active in the CMS NPPES registry since October 24, 2020.
## Identity
- **NPI:** 1215536750 (Entity type: Individual)
- **Enumerated:** October 24, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C8896 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 6400 SE LAKE RD, Milwaukie, OR 97222-2129
- **Phone:** (541) 900-4285
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Roseburg Therapy LLC (NPI 1538665013, Roseburg, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215536750) · Data from the CMS NPPES public registry.