Individual provider Active NPI

Jay Jude Schuder

  • Professional Counselor
  • Colchester, CT
National Provider Identifier
1114988326
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000462 Issued in CT
Practice address
23 Blueberry LN
Colchester, CT 06415-2048
Phone
(860) 559-1300
Fax
(860) 878-6886
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000284 CT
Professional Counselor 101YP2500X 000462 CT Primary

Addresses

Primary practice location

23 Blueberry LN
Colchester, CT 06415-2048

Mailing address

23 Blueberry LN
Colchester, CT 06415-2048
Phone (860) 559-1300

Other names 1

  • Jay Todd Jude Schuder Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240409001047 CT Practitioner - Mental Health Counselor 4688012727 Practice locations: Colchester, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000462CTMDNaturopath
000284CTMDGerontology Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1114988326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BLUEBERRY LN",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152048",
            "telephone_number": "860-559-1300",
            "fax_number": "860-878-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BLUEBERRY LN",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152048",
            "telephone_number": "860-559-1300",
            "fax_number": "860-878-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUDER",
        "first_name": "JAY",
        "middle_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000284",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY TODD",
            "last_name": "SCHUDER",
            "middle_name": "JUDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colchester, CT

Sources for this page

Verify at the official NPI Registry.