MS. ELLEN LEE DUDLEY MA LPC CRC
NPI 1346325586
Counselor in Wilmington, NC
NPI Status: Active since October 26, 2006
Contact Information
2018 EASTWOOD RD
SUITE 316
WILMINGTON, NC
ZIP 28403
Phone: (910) 344-0480
Fax: (910) 344-1206
- Individual
- Female
- Counselor
- Accepts Insurance
- Opted-Out Medicare
About ELLEN DUDLEY
This page provides the complete NPI Profile along with additional information for Ellen Dudley, a provider established in Wilmington, North Carolina with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1346325586 assigned on October 2006. The practitioner's primary taxonomy code is 101Y00000X with license number 3295 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1346325586
- Provider Name
- MS. ELLEN LEE DUDLEY MA LPC CRC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2018 EASTWOOD RD SUITE 316 WILMINGTON, NC 28403
- Location Phone
- (910) 344-0480
- Location Fax
- (910) 344-1206
- Mailing Address
- 615 SPENCER CT WILMINGTON, NC 28412
- Mailing Phone
- (910) 274-6757
- Mailing Fax
- (910) 344-1206
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-26-2006
- Last Update Date
- 07-19-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ellen Dudley opted out of Medicare effective on 01-05-2024 until 01-05-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3295
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Bronze Standard | Limited Statewide Doctors - POS
- Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Gold Standard | Limited Statewide Doctors - POS
- Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
- Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
- Blue Value Silver Standard | Limited Statewide Doctors - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6103368 | MEDICAID (05) | NC |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-05-2024
Opt-Out End Date: 01-05-2026
Eligible to Order and Refer? No
Reviews for MS. ELLEN LEE DUDLEY MA LPC CRC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 3 | 2 | 5 | 5 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 6 | 2 | 10 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 6 + 2 + 1 + 0 + 5 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1346325586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700069150 | ALLIED PSYCHOPHYSIOLOGY SERVICES PLLC Organization | Psychiatry & Neurology (Clinical Neurophysiology) | 2018 EASTWOOD RD WILMINGTON, NC 28403 (910) 515-4200 |
| 1881854495 | ELIZABETH CLAYWELL DOXEY LPC, LCAS, CSI, CRC Individual | Counselor (Professional) | 2018 EASTWOOD RD SUITE 316 WILMINGTON, NC 28403 (910) 520-2747 |
| 1396114377 | WILMINGTON PSYCHOTHERAPY, PLLC Organization | Counselor (Professional) | 2018 EASTWOOD RD #316 WILMINGTON, NC 28403 (910) 200-2363 |
| 1326684259 | LIFE INTEGRATIVE MEDICINE Organization | Psychiatry & Neurology (Psychiatry) | 2018 EASTWOOD RD WILMINGTON, NC 28403 (910) 787-1358 |
| 1417734922 | JESSICA LAUREN SWANSON LMFTA Individual | Marriage & Family Therapist | 2018 EASTWOOD RD WILMINGTON, NC 28403 (910) 766-8259 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346325586, enumerated in the NPI registry as an "individual" on October 26, 2006
The provider is located at 2018 Eastwood Rd Suite 316 Wilmington, Nc 28403 and the phone number is (910) 344-0480
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 05, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 05, 2026.
This NPI record was last updated on October 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.