Provider Demographics
NPI:1427637446
Name:HODEL, JAMES J (LPC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:HODEL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250827
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1508
Mailing Address - Country:US
Mailing Address - Phone:203-260-1494
Mailing Address - Fax:
Practice Address - Street 1:1 MORNINGSIDE DR APT 1214
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2436
Practice Address - Country:US
Practice Address - Phone:203-260-1494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional