JACOB CHARLES HUDANICK LPC-T
NPI 1184447641
Counselor - Professional in Wichita, KS

Active since November 04, 2024PECOS Enrolled
555 N WOODLAWN ST, WICHITA, KS 67208(636) 248-5979 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Charles Hudanick Lpc-t NPPES

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

JACOB CHARLES HUDANICK LPC-T (NPI 1184447641) is an individual professional provider in Wichita, Kansas, licensed in Kansas (04885-T) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184447641
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB CHARLES HUDANICKCredential: LPC-T
Location Address555 N WOODLAWN STWichita, KS 67208-3646
Mailing Address3324 E Sunflower DrDerby, KS 67037-8688 · (636) 248-5979
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
NPI 1184447641 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 KS · 04885-T
555 N WOODLAWN ST, Wichita, KS 67208

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Charles Hudanick Lpc-t is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820569262
PECOS Enrollment IDI20260605002152
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
555 N WOODLAWN ST, 102
WICHITA, KS 67208
Psychologist (Clinical)
555 N WOODLAWN ST, 3105
WICHITA, KS 67208
Marriage & Family Therapist
555 N WOODLAWN ST, STE 102
WICHITA, KS 67208
Nurse Practitioner (Psychiatric/Mental Health)
555 N WOODLAWN ST, SUITE 120
WICHITA, KS 67208
Social Worker
555 N WOODLAWN ST, 3105
WICHITA, KS 67208
Social Worker (Clinical)
555 N WOODLAWN ST, 102
WICHITA, KS 67208
Social Worker
555 N WOODLAWN ST, 102
WICHITA, KS 67208
Marriage & Family Therapist
555 N WOODLAWN ST, SUITE 3105
WICHITA, KS 67208

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 Hudanick's NPI number?

The NPI number for Jacob Hudanick is 1184447641. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Jacob Hudanick located?

Jacob Hudanick practices at 555 N Woodlawn St, Wichita, KS 67208. The listed phone number is (636) 248-5979.

What is Jacob Hudanick's specialty?

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

Is Jacob Hudanick enrolled in Medicare?

Yes. Jacob Hudanick is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Hudanick accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Providence Health Plan list Jacob Hudanick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Hudanick was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.