BRADLEY ROBERT HUDSON (LMFT) – Marriage & Family Therapist, NPI 1063922920

BRADLEY ROBERT HUDSON (LMFT) is a healthcare provider. based in Gillette, Wyoming. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. LMFT-234 (WY). The NPI Number for BRADLEY ROBERT HUDSON (LMFT) is 1063922920

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY ROBERT HUDSON (LMFT)
NPI
1063922920
Phone
Not provided
Address
100 WARREN AVE
Enumeration Date
5 October 2017
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072094649
Graduation Year
2017 (9 years ago)
PAC ID
6305289042
Professional Enrollment ID
I20240208004563
Address ID
WY827186345GI201XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14 MARRIAGE AND FAMILY THERAPIST in WY

Provider Addresses for BRADLEY ROBERT HUDSON (LMFT)

  • 100 WARREN AVE

    GILLETTE, WY 827163728

    Phone:

    Type: Mailing

  • 100 Warren Ave

    Gillette, WY 827163728

    Phone: (307) 682-2034

    Fax: (307) 682-2968

    Type: Location

  • 201 W LAKEWAY RD STE 902

    GILLETTE, WY 827186345

    Phone: (307) 209-4649

    Fax: (307) 381-0493

    Type: Mailing

  • Willow Tree Therapy, 812, East 4th Street, Gillette, Campbell County, Wyoming, 82716, United States

    GILLETTE, WY 827164033

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240208004563IMarriage And Family TherapistWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82716)

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Reviews

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Frequently asked questions

What number should I use to identify BRADLEY ROBERT HUDSON (LMFT) for billing?
Administrative and clinical systems typically use NPI 1063922920 for BRADLEY ROBERT HUDSON (LMFT).
Should I treat BRADLEY ROBERT HUDSON (LMFT) as an active provider?
Patients and plans typically see BRADLEY ROBERT HUDSON (LMFT) as active in the national extract.
What services align with BRADLEY ROBERT HUDSON (LMFT)'s listing?
BRADLEY ROBERT HUDSON (LMFT)'s public classification highlights Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to BRADLEY ROBERT HUDSON (LMFT)?
The directory associates BRADLEY ROBERT HUDSON (LMFT) with Gillette, Wyoming. Check all listed addresses for suites or satellite offices.
Why is information missing for BRADLEY ROBERT HUDSON (LMFT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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