MS. ELLEN LEE DUDLEY MA LPC CRC
NPI 1346325586
Counselor in Wilmington, NC

Active since October 26, 2006Opted out of Medicare · through Jan 5, 2028
2018 EASTWOOD RD, SUITE 316, WILMINGTON, NC 28403(910) 344-0480(910) 344-1206 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Ellen Lee Dudley Ma Lpc Crc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELLEN LEE DUDLEY MA LPC CRC (NPI 1346325586) is an individual counselor in Wilmington, North Carolina, licensed in North Carolina (3295) and active in the NPI registry since October 2006. She has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1346325586
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. ELLEN LEE DUDLEYCredential: MA LPC CRC
Location Address2018 EASTWOOD RD, SUITE 316Wilmington, NC 28403-7228
Mailing Address615 Spencer CtWilmington, NC 28412-3463 · (910) 274-6757 · Fax (910) 344-1206
Fax(910) 344-1206
Sole ProprietorYes
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1346325586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · 3295
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2018 EASTWOOD RD, Wilmington, NC 28403

Other Identifiers 1

Medicaid6103368NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Ellen Lee Dudley Ma Lpc Crc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2024 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2024
Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Clinical Neurophysiology)
2018 EASTWOOD RD
WILMINGTON, NC 28403
Counselor (Professional)
2018 EASTWOOD RD, #316
WILMINGTON, NC 28403
Psychiatry & Neurology (Psychiatry)
2018 EASTWOOD RD
WILMINGTON, NC 28403
Marriage & Family Therapist
2018 EASTWOOD RD
WILMINGTON, NC 28403

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 Ellen Dudley's NPI number?

The NPI number for Ellen Dudley is 1346325586. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Ellen Dudley located?

Ellen Dudley practices at 2018 Eastwood Rd Suite 316, Wilmington, NC 28403. The listed phone number is (910) 344-0480.

What is Ellen Dudley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ellen Dudley enrolled in Medicare?

No. Ellen Dudley has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ellen Dudley accept?

Health plans from Blue Cross and Blue Shield of NC list Ellen 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 Ellen Dudley was last updated on July 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.