Individual provider Active NPI

Jennifer R Ludwig, LMHC

  • Mental Health Counselor
  • Spencer, IN
National Provider Identifier
1902400708
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003955A Issued in IN
Practice address
909 W Hillside Ave
Spencer, IN 47460-1119
Phone
(812) 829-0037
NPI assigned
Nov 23, 2020
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88000704A IN
Mental Health Counselor 101YM0800X 39003955A IN Primary

Addresses

Primary practice location

909 W Hillside Ave
Spencer, IN 47460-1119

Mailing address

620 8TH Ave
Terre Haute, IN 47804-2771
Phone (812) 231-8323

Other practice location 1

5010 N Stone Mill Rd Ste B
Bloomington, IN 47408-9320
Phone (812) 929-2193

Other practice location 2

3806 Sims Ln
Bloomington, IN 47403-4158
Phone (765) 918-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000955 IN Practitioner - Mental Health Counselor 8224470109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Center, Inc.Group PAC ID 4284533662, 42 clinicians

Practice addresses (Care Compare)

620 8TH Ave
Terre Haute, IN 47804-2744
Phone (812) 231-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88000704AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Center, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Hamilton Center Inc. CurrentSince Apr 16, 2024 Accepting new patients
New Outlook Counseling Center Inc PastSince Apr 1, 2022 Accepting new patients
Hamilton Center, Inc. PastSince May 19, 2024 Accepting new patients
New Outlook Counseling Center Inc PastSince Apr 1, 2022 Accepting new patients

Locations

620 8th Ave
Terre Haute, IN 47804
Phone (812) 231-8200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1902400708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042771",
            "telephone_number": "812-231-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W HILLSIDE AVE",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601119",
            "telephone_number": "812-829-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 N Stone Mill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089320",
            "country_code": "US",
            "telephone_number": "812-929-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3806 Sims Ln",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034158",
            "country_code": "US",
            "telephone_number": "765-918-7086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000704A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IN

Sources for this page

Verify at the official NPI Registry.