Kelley Anne Hudson, LADC
NPI 1558800748ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Saint Paul, MN
Counselor, Addiction (Substance Use Disorder) (LADC) with Optimal Brain Mn PLLC, practicing in Saint Paul, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1558800748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LADC |
| Sole proprietor | No |
| NPI issued | Feb 21, 2017 |
| Last updated in NPPES | Feb 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | 302823 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Optimal Brain Mn PLLCOakdale, MN · 21 clinicians
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