MACKENZIE AMANDA HUDSON LCSW
NPI 1417248303
Counselor - Mental Health in San Diego, CA

Active since April 26, 2011Opted out of Medicare · through Jan 1, 2027
5405 MOREHOUSE DR STE 330, SAN DIEGO, CA 92121(619) 514-2795 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Amanda Hudson Lcsw NPPES

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

MACKENZIE AMANDA HUDSON LCSW (NPI 1417248303) is an individual mental health provider in San Diego, California and active in the NPI registry since April 2011. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1417248303
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMACKENZIE AMANDA HUDSONCredential: LCSW
Location Address5405 MOREHOUSE DR STE 330San Diego, CA 92121-4786
Mailing Address5405 Morehouse Dr Ste 330San Diego, CA 92121-4786 · (619) 514-2795
Sole ProprietorYes
Enumeration DateApril 26, 2011
Last NPPES UpdateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
NPI 1417248303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
5405 MOREHOUSE DR STE 330, San Diego, CA 92121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mackenzie Amanda Hudson Lcsw 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 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Psychologist (Clinical)
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Psychologist (Clinical)
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Marriage & Family Therapist
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Psychologist (Clinical)
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Marriage & Family Therapist
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Marriage & Family Therapist
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121
Dietitian, Registered
5405 MOREHOUSE DR STE 330
SAN DIEGO, CA 92121

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 Mackenzie Hudson's NPI number?

The NPI number for Mackenzie Hudson is 1417248303. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Mackenzie Hudson located?

Mackenzie Hudson practices at 5405 Morehouse Dr Ste 330, San Diego, CA 92121. The listed phone number is (619) 514-2795.

What is Mackenzie Hudson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mackenzie Hudson enrolled in Medicare?

No. Mackenzie Hudson has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mackenzie Hudson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.