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

Mr. Jacob Hudson, LPC

Individual provider Professional Counselor · NPI 1023618204

Mr. Jacob Hudson, LPC is a Mental Health Counselor in South Boston, Virginia. Qualified in 2018, 8 years ago. Practices with Halifax Regional Hospital Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

504 Wilborn Ave
South Boston, VA 24592-3120
Phone: (434) 517-3653
Fax: (434) 517-3043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701010038 (VA)

Record details

NPI number1023618204
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address504 Wilborn Ave, South Boston, VA 24592-3120

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Halifax Regional Hospital Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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