Active NPI 1558036236 Individual Practitioner Male Practitioner

Keith Hudson

Counselor - Professional • Moraine, OH

Professional Overview & Biography Verified Profile Summary

Keith Hudson is a registered healthcare professional specializing in Counselor - Professional in Moraine, OH. Practice services are available at 3095 KETTERING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3095 Kettering Blvd

Moraine, OH 454391983

Telephone 9372938300

Associated Practice Facility / Clinic

🏢 South Community Inc Facility NPI 1639128176

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moraine, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.4 Yrs

State Avg: 15.9 Yrs

Regional Practice Density

68 Specialists

Practicing in Moraine, OH (6923 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-28

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH C.2406206-TRNE

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Holly Vadnais

Case Manager/Care Coordinator

NPI 1003311515

Chadonn Cummings

Social Worker

NPI 1003342692

Elizabeth Liapis , LISW-SUPV

Social Worker - Clinical

NPI 1003350380

LISWSUPV

Kimberly Yates

Case Manager/Care Coordinator

NPI 1003456906

Stephanie Mccutcheon , BGS, QMHS

Case Manager/Care Coordinator

NPI 1003554874

Logan Bruno

Case Manager/Care Coordinator

NPI 1003671546

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 28, 2024

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

📍

Updated Business Mailing Address October 28, 2024

Registered at 3095 KETTERING BLVD, MORAINE, OH 454391983 (Tel: 9372938300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Counselor (License #C.2406206-TRNE in OH)

✅

NPI Profile Active August 13, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2021

Registered at 600 WAYNE AVE, DAYTON, OH 454101122 (Tel: 9374962000)

📍

Updated Business Mailing Address August 13, 2021

Registered at 600 WAYNE AVE, DAYTON, OH 454101122

👤

Provider Name / Credentials Updated August 13, 2021

Recorded as KEITH HUDSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2021

Community/Behavioral Health

🟢

Initial NPI Registration & Enumeration August 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558036236

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2021

Last Update: October 28, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3095 Kettering Blvd

Moraine, OH 454391983

Phone: 9372938300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.