Active NPI
Annette E Huddleston, MSW, CADC
- Community Health Worker
- Jacksonville, IL
National Provider Identifier
1801533989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 13872
- Practice address
- 425 E State St
Jacksonville, IL 62650-2125 - Phone
- (217) 408-1195
- Fax
- (217) 408-1231
- NPI assigned
- May 19, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13872 | IL | |
| Community Health Worker | 172V00000X | 13872 | IL | Primary |
Addresses
Primary practice location
425 E State St
Jacksonville, IL 62650-2125
Mailing address
425 E State St
Jacksonville, IL 62650-2125
Phone (217) 408-1195
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 |
|---|---|---|---|
| 13872 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1801533989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E STATE ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502125",
"telephone_number": "217-408-1195",
"fax_number": "217-408-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E STATE ST",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626502125",
"telephone_number": "217-408-1195",
"fax_number": "217-408-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLESTON",
"first_name": "ANNETTE",
"middle_name": "E",
"credential": "MSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "13872",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "IL",
"license": "13872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.