Active NPI
Jodi Lynn Huebner, MA, LPC
- Mental Health Counselor
- Appleton, WI
National Provider Identifier
1811216484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4185-125
- Practice address
- 1045 N Lynndale Dr Ste 2D
Appleton, WI 54914-3048 - Phone
- (920) 475-0246
- NPI assigned
- May 21, 2010
- Last updated
- May 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4185-125 | WI | Primary |
Addresses
Primary practice location
1045 N Lynndale Dr Ste 2D
Appleton, WI 54914-3048
Mailing address
1045 N Lynndale Dr Ste 2D
Appleton, WI 54914-3048
Phone (920) 475-0246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 23, 2024 through Apr 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4185-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1811216484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N LYNNDALE DR STE 2D",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143048",
"telephone_number": "920-475-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 N LYNNDALE DR STE 2D",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143048",
"telephone_number": "920-475-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "JODI",
"middle_name": "LYNN",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4185-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.