Jack Lawrence Hodgden, MS, LPC CANIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

605 W Oxford Ave
Enid, OK 73701-1208

Phone

(580) 233-7220

NPI assigned

Aug 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jack Lawrence Hodgden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1821646654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 GRIZZLY LN",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035069",
            "telephone_number": "580-402-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W OXFORD AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737011208",
            "telephone_number": "580-233-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGDEN",
        "first_name": "JACK",
        "middle_name": "LAWRENCE",
        "credential": "MS, LPC CANIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "HODGDEN",
            "middle_name": "LAWRENCE",
            "credential": "MS, LPC CANIDATE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joyce Lavon Hill, MCP
• Rick Hill
• Grace Lynn Hise
• Rhonda Faye Faye Hobbs
• Kyla S Hobson
• Laura Jo Hofferber, APRN
• Jeffrey G Hoffsommer, MD
• Trudy Ann Hoffsommer, M.A. LPC
• Jami Lyn Hogan
• Brittany Marie Holderly, RBT

• Mental Health Counselor in Enid, OK
• Providers in Enid, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.