D'Juan Huddleston Sr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018030957 Issued in MO

Practice address

11890 Hidden Lake Dr
Saint Louis, MO 63138-1202

Phone

(314) 503-4526

NPI assigned

Apr 13, 2017

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1528592938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 HIDDEN LAKE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HIDDEN LAKE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381202",
            "telephone_number": "314-503-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "D'JUAN",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018030957",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher G Huckstep, CRNA
• Glen Scott Hudder, D.C.
• Abbigail Huddleston, DO
• Carol M Huddleston, M.S.W.
• Charles Buford Huddleston, MD
• Kalee Huddleston, PHARMD
• Meloni Ann Huddleston, RN
• Hudson Behavioral Healthcare Groupllc
• Lawrence Edmond Hudson-Lewis, LCSW
• Brittany Renee Hudson, ACNP

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.