JUSTINA ANNE DUDLEY LPC
NPI 1215536750
Counselor - Professional in Milwaukie, OR

Active since October 24, 2020PECOS Enrolled
6400 SE LAKE RD, MILWAUKIE, OR 97222(541) 900-4285 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2024, Nov 3, 2020, Oct 24, 2020 (3 updates tracked since 2020).

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

NPI1215536750
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTINA ANNE DUDLEYCredential: LPC
Location Address6400 SE LAKE RDMilwaukie, OR 97222-2129
Mailing Address10560 Nw 321st AveNorth Plains, OR 97133-6197 · (503) 268-7352
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 24, 2020
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1215536750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C8896
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6400 SE LAKE RD, Milwaukie, OR 97222

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Justina Dudley is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Justina Dudley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5395213367

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20260507002501

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JUSTINA ANNE DUDLEY LPC

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Dentist (Endodontics)
6400 SE LAKE RD, SUITE 140
PORTLAND, OR 97222
Psychologist (Clinical)
6400 SE LAKE RD, SUITE 285
MILWAUKIE, OR 97222
Nurse Anesthetist, Certified Registered
6400 SE LAKE RD, SUITE 109
PORTLAND, OR 97222
Psychologist
6400 SE LAKE RD, SUITE 325
MILWAUKIE, OR 97222
Psychologist (Clinical)
6400 SE LAKE RD, SUITE 325
MILWAUKIE, OR 97222
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD, STE 285
MILWAUKIE, OR 97222
Behavior Technician
6400 SE LAKE RD
PORTLAND, OR 97222
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD
PORTLAND, OR 97222
Behavior Technician
6400 SE LAKE RD
PORTLAND, OR 97222
Behavior Technician
6400 SE LAKE RD
PORTLAND, OR 97222
Behavior Technician
6400 SE LAKE RD
PORTLAND, OR 97222
Psychiatry & Neurology (Psychiatry)
6400 SE LAKE RD, STE 325
MILWAUKIE, OR 97222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215536750, enumerated as an "individual" on October 24, 2020.

The provider is located at 6400 SE LAKE RD MILWAUKIE, OR 97222 and the phone number is (541) 900-4285.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.