Active NPI
Jada B Hudson, LCPC
- Professional Counselor
- Hinsdale, IL
National Provider Identifier
1104269596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006040
- Practice address
- 102 S Washington St FL 2
Hinsdale, IL 60521-4073 - Phone
- (630) 815-3735
- Fax
- (855) 727-4855
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 180006040 | IL | Primary |
Addresses
Primary practice location
102 S Washington St FL 2
Hinsdale, IL 60521-4073
Mailing address
PO Box 1345
Sugar Grove, IL 60554-1345
Phone (630) 815-3735
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 |
|---|---|---|---|
| 180006040 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1104269596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1345",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "605541345",
"telephone_number": "630-815-3735",
"fax_number": "855-727-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S WASHINGTON ST FL 2",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605214073",
"telephone_number": "630-815-3735",
"fax_number": "855-727-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JADA",
"middle_name": "B",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-16",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180006040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.