MR. JACOB HUDSON LPC
NPI 1023618204
Counselor - Professional in South Boston, VA

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
504 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3653(434) 517-3043 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Hudson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB HUDSON LPC (NPI 1023618204) is an individual professional provider in South Boston, Virginia, licensed in Virginia (0701010038) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023618204
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACOB HUDSONCredential: LPC
Location Address504 WILBORN AVESouth Boston, VA 24592-3120
Mailing Address504 Wilborn AveSouth Boston, VA 24592-3120 · (434) 517-3653 · Fax (434) 517-3043
Fax(434) 517-3043
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
NPI 1023618204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701010038
504 WILBORN AVE, South Boston, VA 24592

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Hudson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264963198
PECOS Enrollment IDI20241003000461
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Community/Behavioral Health
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor (Addiction (Substance Use Disorder))
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Hudson's NPI number?

The NPI number for Jacob Hudson is 1023618204. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Jacob Hudson located?

Jacob Hudson practices at 504 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3653.

What is Jacob Hudson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacob Hudson enrolled in Medicare?

Yes. Jacob Hudson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Hudson was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.