Organization Active NPI

JLG Hudak LLC

Doing business as HeartSpace Therapy

  • Professional Counselor
  • Bradfordwoods, PA
National Provider Identifier
1578274155
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JLG HUDAK LLC
Doing business as
HeartSpace Therapy
Practice address
720 Woodland Rd
Bradfordwoods, PA 15015-1328
Phone
(412) 568-3801
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Jennifer N Hudak, LPCNPI 1972269645
Title
Founder/Ceo
Phone
(412) 568-3801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

720 Woodland Rd
Bradfordwoods, PA 15015-1328

Mailing address

1150 First Ave Ste 511
King of Prussia, PA 19406-1316

Other identifiers 2

IdentifierTypeStateIssuer
PC013866OtherPACOMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU
PRC200001358OtherDCTHE GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH BOARD OF PROFESS

Other names 1

  • HeartSpace Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1675 Route 228
Cranberry Township, PA 16066
Phone (412) 482-7053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1578274155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 FIRST AVE STE 511",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WOODLAND RD",
            "city": "BRADFORDWOODS",
            "state": "PA",
            "postal_code": "150151328",
            "telephone_number": "412-568-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLG HUDAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "412-568-3801",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU",
            "identifier": "PC013866",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH BOARD OF PROFESS",
            "identifier": "PRC200001358",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartSpace Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradfordwoods, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.