Active NPI
Amanda Elizabeth Hudec
- Professional Counselor
- Chicago, IL
National Provider Identifier
1366913600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180011159
- Practice address
- 661 W Lake St Ste 2S
Chicago, IL 60661-1034 - Phone
- (574) 276-4739
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 180011159 | IL | Primary |
Addresses
Primary practice location
661 W Lake St Ste 2S
Chicago, IL 60661-1034
Mailing address
661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone (574) 276-4739
Other practice location 1
333 N Michigan Ave Ste 1900
Chicago, IL 60601-3994
Phone (574) 276-4739
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | amandahudec@gradienttherapychi.com |
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 |
|---|---|---|---|
| 180011159 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gradient Therapy PLLC | Professional | Current | Accepting new patients |
Locations
661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045
Organizations & group practices 1
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1265146625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1366913600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 W LAKE ST STE 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611034",
"telephone_number": "574-276-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 W LAKE ST STE 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611034",
"telephone_number": "574-276-4739"
}
],
"practiceLocations": [
{
"address_1": "333 N Michigan Ave Ste 1900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606013994",
"country_code": "US",
"telephone_number": "574-276-4739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDEC",
"first_name": "AMANDA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180011159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "amandahudec@gradienttherapychi.com",
"affiliation": "N",
"address_1": "661 W Lake St Ste 2S",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606611034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.