Active NPI
Tracey Hudgins, LPC
- Professional Counselor
- Jacksonville, AL
National Provider Identifier
1083001226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2794
- Practice address
- 1215 Jackson'S Way
Jacksonville, AL 36265 - Phone
- (256) 239-5662
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2794 | AL | Primary |
Addresses
Primary practice location
1215 Jackson'S Way
Jacksonville, AL 36265
Mailing address
1215 Jackson'S Way
Jacksonville, AL 36265
Phone (256) 239-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2794 | AL | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1083001226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 JACKSON'S WAY",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "36265",
"telephone_number": "256-239-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 JACKSON'S WAY",
"city": "JACKSONVILLE",
"state": "AL",
"postal_code": "36265",
"telephone_number": "256-239-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDGINS",
"first_name": "TRACEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.