Individual provider Active NPI

Holli Jo Hudson, LPC

  • Professional Counselor
  • Clearfield, PA
National Provider Identifier
1114629375
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015384 Issued in PA
Practice address
8912 Clearfield Curwensville Hwy
Clearfield, PA 16830-3520
Phone
(814) 762-2144
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC015384 PA Primary

Addresses

Primary practice location

8912 Clearfield Curwensville Hwy
Clearfield, PA 16830-3520

Mailing address

9 Apple St
Clearfield, PA 16830-1717
Phone (814) 762-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240215003828 PA Practitioner - Mental Health Counselor 5799129946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC015384PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Consulting & Human Services LLC CurrentSince Jan 15, 2024 Accepting new patients
You Matter Counseling Limited Liability Company CurrentSince Jul 16, 2023 Accepting new patients

Locations

109 E Locust St
Clearfield, PA 16830
Phone (814) 577-1172

1851 W End Ave
Pottsville, PA 17901
Phone (570) 622-9101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1114629375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 APPLE ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301717",
            "telephone_number": "814-762-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 CLEARFIELD CURWENSVILLE HWY",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303520",
            "telephone_number": "814-762-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "HOLLI",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.