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ELLEN JO DUDLEY
NPI 1982060968
Counselor - Professional in Denver, CO

Active since January 06, 2016PECOS Enrolled
777 BANNOCK ST, DENVER, CO 80204(720) 423-5170(720) 423-5011 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, May 12, 2021 (2 updates tracked since 2021).

About Ellen Jo Dudley NPPES

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

ELLEN JO DUDLEY (NPI 1982060968) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPC.0016345) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982060968
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELLEN JO DUDLEY
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address777 Bannock StDenver, CO 80204-4597 · (720) 423-5170 · Fax (720) 423-5011
Phone(720) 423-5170
Fax(720) 423-5011
Sole ProprietorNo
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1982060968 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 CO · LPC.0016345
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License LPC.0016345 (CO)
777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11728 N Downing StDenver, CO 80218-1008 · Phone (720) 840-3703
Location 22250 S Oneida St Ste 200Denver, CO 80224-2558 · Phone (303) 433-1975

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Jo Dudley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ellen Dudley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Denver Health And Hospital Authority
Same address
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
NPI 1477569838 (303) 436-6000
Eureka Creek Wellness PLLC
1.2 mi
Mental Health (Including Community Mental Health Center)
720 16TH ST APT 318
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
NPI 1972393510 (303) 731-6939

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MS. KATHERINE JEANNE CARLEY RN, MSN, CS
Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6630
RYAN DEAN LATERZA M.D.
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
BARBARA E ANDERSON NP
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-0340
PHILIP ANDREOLI D.O.
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-4949
JESSICA RENEE KUDLOCK LCSW
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-7220
ELIZABETH PERKINS-PRIDE
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KIRSTEN ERIKSEN PA-C
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KATHRYN IRENE GARNER MD, MPH
Family Medicine
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000

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 1982060968. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Ellen Dudley located?

Ellen Dudley practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (720) 423-5170.

What is Ellen Dudley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ellen Dudley enrolled in Medicare?

Yes. Ellen Dudley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ellen Dudley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Dudley reassigns Medicare benefits to 2 organizations: Denver Health And Hospital Authority (Denver, CO) and Eureka Creek Wellness PLLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Dudley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Dudley accept?

Health plans from Oscar Insurance Company and Select Health 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 January 7, 2025. 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.