Active NPI
Judd Alexander Haushahn
- Mental Health Counselor
- Dixon, IL
National Provider Identifier
1942848411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 325 Il-2
Dixon, IL 61021 - Phone
- (815) 284-6611
- NPI assigned
- Dec 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
325 Il-2
Dixon, IL 61021
Mailing address
46 N Rocky Hollow Rd
Oregon, IL 61061-9629
Phone (630) 277-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juddhaushahn@sinnissippi.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1942848411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 N ROCKY HOLLOW RD",
"city": "OREGON",
"state": "IL",
"postal_code": "610619629",
"telephone_number": "630-277-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 IL-2",
"city": "DIXON",
"state": "IL",
"postal_code": "61021",
"telephone_number": "815-284-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSHAHN",
"first_name": "JUDD",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "juddhaushahn@sinnissippi.com",
"affiliation": "N",
"address_1": "325 IL-2",
"city": "Dixon",
"state": "IL",
"country_code": "US",
"postal_code": "61021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.