Active NPI
Jessica Jean Hudgens, LPCA
- Professional Counselor
- Matthews, NC
National Provider Identifier
1669913141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12864
- Practice address
- 134 W Matthews St
Matthews, NC 28105-1305 - Phone
- (704) 708-4605
- Fax
- (704) 469-5807
- NPI assigned
- Mar 16, 2017
- 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 | A12864 | NC | Primary |
Addresses
Primary practice location
134 W Matthews St
Matthews, NC 28105-1305
Mailing address
134 W Matthews St
Matthews, NC 28105-1305
Phone (704) 708-4605
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 |
|---|---|---|---|
| A12864 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1669913141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W MATTHEWS ST",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051305",
"telephone_number": "704-708-4605",
"fax_number": "704-469-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W MATTHEWS ST",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051305",
"telephone_number": "704-708-4605",
"fax_number": "704-469-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDGENS",
"first_name": "JESSICA",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.