Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Charles Hudanick, LPC-T

Individual provider Professional Counselor · NPI 1184447641

Jacob Charles Hudanick, LPC-T is a Mental Health Counselor in Wichita, Kansas. Qualified in 2024, 2 years ago. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024

Practice location Address checks out

555 N Woodlawn St
Wichita, KS 67208-3646
Phone: (636) 248-5979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 04885-T (KS)

Record details

NPI number1184447641
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-T
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Wichita