Jack W. Luadzers, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60459225 Issued in WA

Practice address

1708 Taft Rd., Apt#4
Aberdeen, WA 98520

Phone

(509) 290-9519

Fax

(803) 343-5400

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Richard P. Brooks, Jr., Arnp, Inc.

  dba Behavioral Healthcare Inc.

  • Psychiatric/Mental Health Registered Nurse
  • Hoquiam, WA
  • NPI 1659914000
  Medicare reassignment NPD
• Behavioral Counseling Associates PS

  • Psychologist
  • Aberdeen, WA
  • NPI 1215071717
  NPD (past)
• Carolina Psychotherapy Associates

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1851451413

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1992921712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 TAFT RD., APT#4",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "803-771-9300",
            "fax_number": "803-343-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 TAFT RD., APT#4",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "509-290-9519",
            "fax_number": "803-343-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUADZERS",
        "first_name": "JACK",
        "middle_name": "W.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60459225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "571027762",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC #",
            "identifier": "874",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kay Lokken, FNP
• Evelyn Marie Long, MSW
• Loren E. Laybourn, MD PS
• Elizabeth Anna Lorenzo
• Leisa Marie Lowdermilk
• Gregory Leonard Lucas, DNP, ARNP, FNP-C
• Kris Luchmun
• Huu Duc Dang Luu, DMD
• Ryan Lyle
• M Saleem Memon MD

• Mental Health Counselor in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.