Individual provider Active NPI

Jo Ann Huddleston, LPC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1083898878
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1136 Issued in AL
Practice address
2700 Rogers Dr
Birmingham, AL 35209-2054
Phone
(205) 870-3520
Fax
(205) 263-0311
NPI assigned
Dec 28, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1136 AL Primary
Clinical Social Worker 1041C0700X 1996B AL

Addresses

Primary practice location

2700 Rogers Dr
Birmingham, AL 35209-2054

Mailing address

2700 Rogers Dr
Birmingham, AL 35209-2054
Phone (205) 870-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000149 AL Practitioner - Clinical Social Worker 6507037900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pitts Mental Health Associates IncGroup PAC ID 6103853445, 13 clinicians

Practice addresses (Care Compare)

601 Beacon Pkwy W
Suite 201
Birmingham, AL 35209-3123
Phone 20587035207811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1996BALMDClinical Social Worker
1136ALMDChiropractor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1083898878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 ROGERS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092054",
            "telephone_number": "205-870-3520",
            "fax_number": "205-263-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROGERS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092054",
            "telephone_number": "205-870-3520",
            "fax_number": "205-263-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "JO",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1136",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1996B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.