Individual provider Active NPI

Linda J Hudec, PCC LICDC III

  • Counselor
  • Chillicothe, OH
National Provider Identifier
1679586903
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E-0003318 Issued in OH
Practice address
455 Shawnee Lane
Chillicothe, OH 45601
Phone
(740) 779-4888
Fax
(740) 779-4898
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E-0003318 OH Primary

Addresses

Primary practice location

455 Shawnee Lane
Chillicothe, OH 45601

Mailing address

455 Shawnee Lane
Chillicothe, OH 45601
Phone (740) 779-4888

Other names 1

  • Linda J Huder-Jenks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.counseling@adena.medicity.net

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

LicenseStateTypeSpecialty
E-0003318OHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1679586903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LANE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-779-4888",
            "fax_number": "740-779-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHAWNEE LANE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "45601",
            "telephone_number": "740-779-4888",
            "fax_number": "740-779-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEC",
        "first_name": "LINDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PCC LICDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E-0003318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.counseling@adena.medicity.net",
            "affiliation": "N",
            "address_1": "455 Shawnee Lane",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "HUDER-JENKS",
            "middle_name": "J",
            "credential": "PCC LICDC III",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.