MEDICARE: MS. DOROTHY J. HUGHES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39000908A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51515	OTHER	IN	NATIONAL CERTIFICE COUNSELOR
2	39000908A	OTHER	IN	LISCENSED MENTAL HEALTH COUNSELOR

General Provider Information

NPI Number	:	1811930472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DOROTHY J. HUGHES LMHC

Provider Business Mailing Address
First Line	:	21 PEREGRINE CT
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-5073
Country	:	US
Telephone Number	:	765-237-7652
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 COVINGTON ST
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-1404
Country	:	US
Telephone Number	:	765-237-7652
Fax Number	:	765-496-1550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	06/23/2009

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