Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Anne Hudson, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1558800748

Kelley Anne Hudson, LADC is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Optimal Brain Mn PLLC, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2017
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1956 Feronia Ave
Saint Paul, MN 55104-3548
Phone: (651) 493-6658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 302823 (MN)

Record details

NPI number1558800748
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedFebruary 21, 2017
Last updated in NPPESFebruary 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optimal Brain Mn Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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