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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justina Anne Dudley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Justina Dudley accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon 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 21 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
- **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.