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NICHOLE RANDALL JUDD LCPC
NPI 1710593249
Counselor - Professional in Windsor Mill, MD

Active since September 21, 2020PECOS Enrolled
2820 CLAYBROOKE DR, WINDSOR MILL, MD 21244(443) 583-4142 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nichole Randall Judd Lcpc NPPES

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

NICHOLE RANDALL JUDD LCPC (NPI 1710593249) is an individual professional provider in Windsor Mill, Maryland, licensed in Maryland (LC10660) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1710593249
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOLE RANDALL JUDDCredential: LCPC
Location Address2820 CLAYBROOKE DRWindsor Mill, MD 21244-2014
Mailing Address2820 Claybrooke DrWindsor Mill, MD 21244-2014
Phone(443) 583-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2020
Last NPPES UpdateSeptember 27, 2020
NPPES CertifiedSeptember 27, 2020
✔ NPI 1710593249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC10660
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC10660 (MD)
2820 CLAYBROOKE DR, Windsor Mill, MD 21244
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Secondary Practice Location 1

Location 110451 Twin Rivers Rd Ste 100Columbia, MD 21044-2332 · Phone (410) 997-3557

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Randall Judd Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618442245
PECOS Enrollment IDI20260416001397
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.

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 Nichole Judd's NPI number?

The NPI number for Nichole Judd is 1710593249. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Nichole Judd located?

Nichole Judd practices at 2820 Claybrooke Dr, Windsor Mill, MD 21244. The listed phone number is (443) 583-4142.

What is Nichole Judd's specialty?

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

Is Nichole Judd enrolled in Medicare?

Yes. Nichole Judd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nichole Judd was last updated on September 27, 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.