Active NPI
Jeremy D Hudson, MA
- Professional Counselor
- Holly Springs, NC
National Provider Identifier
1295558450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A20743
- Practice address
- 5524 Rex Rd
Holly Springs, NC 27540-9728 - Phone
- (919) 601-6737
- NPI assigned
- Nov 6, 2024
- Sex
- Male
- 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 | A20743 | NC | Primary |
Addresses
Primary practice location
5524 Rex Rd
Holly Springs, NC 27540-9728
Mailing address
190 Rosewood Centre Dr Ste 100
Holly Springs, NC 27540-7628
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20743 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1295558450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ROSEWOOD CENTRE DR STE 100",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 REX RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275409728",
"telephone_number": "919-601-6737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JEREMY",
"middle_name": "D",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A20743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.