Active NPI
Jackie J Hudson, L.P.C.
- Professional Counselor
- Eugene, OR
National Provider Identifier
1518018027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1414
- Practice address
- 678 Country Club Rd
Eugene, OR 97401-2240 - Phone
- (541) 684-8101
- Fax
- (541) 484-0143
- NPI assigned
- Jan 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | C1414 | OR | Primary |
Addresses
Primary practice location
678 Country Club Rd
Eugene, OR 97401-2240
Mailing address
2245 Ridgeway Dr
Eugene, OR 97401-6555
Phone (541) 683-2869
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 |
|---|---|---|---|
| C1414 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518018027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 RIDGEWAY DR",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016555",
"telephone_number": "541-683-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012240",
"telephone_number": "541-684-8101",
"fax_number": "541-484-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "JACKIE",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.