DEBORAH TRUDELL (MA) – Professional Counselor, NPI 1780079053

DEBORAH TRUDELL (MA) is a healthcare provider. based in Festus, Missouri. specializing in Professional Counselor. They hold the professional credentials MA. They hold a License No. TPMC2079 (FL). The NPI Number for DEBORAH TRUDELL (MA) is 1780079053

Main info

Female
Sole Proprietor
Name
DEBORAH TRUDELL (MA)
NPI
1780079053
Phone
(636) 933-1201
Address
1400 US HIGHWAY 61
Enumeration Date
2 April 2015
Last Update Date
2 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DEBORAH TRUDELL (MA)

  • 1400 US HIGHWAY 61

    FESTUS, MO 630284100

    Phone: (636) 933-1201

    Type: Mailing

  • 12764 STATE ROAD TT

    FESTUS, MO 630284345

    Phone: (636) 232-8328

    Type: Mailing

  • 508 N TRUMAN BLVD STE J

    CRYSTAL CITY, MO 630191344

    Phone: (636) 232-8328

    Fax: (888) 388-2740

    Type: Location

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: 2024-02-09

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
I20240209002949IMental Health CounselorMOTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 63028)

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Reviews

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Frequently asked questions

Is DEBORAH TRUDELL (MA) listed with a National Provider Identifier?
Yes — DEBORAH TRUDELL (MA) has NPI 1780079053 on file in the registry.
Would DEBORAH TRUDELL (MA) appear as active to a payer?
You can treat DEBORAH TRUDELL (MA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DEBORAH TRUDELL (MA)'s focus?
For DEBORAH TRUDELL (MA), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is DEBORAH TRUDELL (MA) located near Festus?
DEBORAH TRUDELL (MA) currently maps to Festus, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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