Individual provider Active NPI

Andrew James Hudak III, LCPC

  • Mental Health Counselor
  • Whitefish, MT
National Provider Identifier
1174692172
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
47 LCPC Issued in MT
Practice address
309 Wisconsin Ave
Attn:Andy
Whitefish, MT 59937-2319
Phone
(406) 862-1112
Fax
(406) 862-1112
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 47 LCPC MT Primary

Addresses

Primary practice location

309 Wisconsin Ave
Attn:Andy
Whitefish, MT 59937-2319

Mailing address

PO Box 1763
Whitefish, MT 59937-1763
Phone (406) 862-1112

Other names 1

  • Mr. Andy Hudak III Professional name

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

LicenseStateTypeSpecialty
47 LCPCMTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1174692172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1763",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599371763",
            "telephone_number": "406-862-1112",
            "fax_number": "406-862-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WISCONSIN AVE",
            "address_2": "ATTN:ANDY",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372319",
            "telephone_number": "406-862-1112",
            "fax_number": "406-862-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_suffix": "III",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "47 LCPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "HUDAK",
            "prefix": "MR.",
            "suffix": "III",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.