Active NPI
JLG Hudak LLC
Doing business as HeartSpace Therapy
- Professional Counselor
- Bradfordwoods, PA
National Provider Identifier
1578274155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer N Hudak, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC013866 | Other | PA | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCU |
| PRC200001358 | Other | DC | THE GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH BOARD OF PROFESS |
Other names 1
- HeartSpace Therapy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Bradfordwoods, PA
- NPI 1972269645
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.