KELLEY ANNE HUDSON LADC
NPI 1558800748
Counselor - Addiction (Substance Use Disorder) in Saint Paul, MN

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment
1956 FERONIA AVE, SAINT PAUL, MN 55104(651) 493-6658 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelley Anne Hudson Ladc NPPES

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

KELLEY ANNE HUDSON LADC (NPI 1558800748) is an individual addiction (substance use disorder) provider in Saint Paul, Minnesota, licensed in Minnesota (302823) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1558800748
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY ANNE HUDSONCredential: LADC
Location Address1956 FERONIA AVESaint Paul, MN 55104-3548
Mailing Address2739 Russell Ave NMinneapolis, MN 55411-1064 · (763) 438-0004
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 21, 2017
✔ NPI 1558800748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302823
1956 FERONIA AVE, Saint Paul, MN 55104

Other Names 1

Former Name (1)Kelley Anne Johnson

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 and accepts Medicare assignment

Kelley Anne Hudson Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052827508
PECOS Enrollment IDI20250722000620
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kelley Hudson's NPI number?

The NPI number for Kelley Hudson is 1558800748. It was assigned to this individual provider in the NPPES registry on February 21, 2017. The provider is also known as Kelley Anne Johnson.

Where is Kelley Hudson located?

Kelley Hudson practices at 1956 Feronia Ave, Saint Paul, MN 55104. The listed phone number is (651) 493-6658.

What is Kelley Hudson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelley Hudson enrolled in Medicare?

Yes. Kelley Hudson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Hudson accept?

Health plans from HealthPartners list Kelley Hudson 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 Kelley Hudson was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.