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NICHOLE RANDALL JUDD LCPC
NPI 1710593249
Counselor - Mental Health in Owings Mills, MD

Active since September 21, 2020PECOS Enrolled
10451 MILL RUN CIR STE 400, OWINGS MILLS, MD 21117(443) 583-4142 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Sep 27, 2020 (2 updates tracked since 2020).

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 mental health provider in Owings Mills, Maryland, licensed in Maryland (LC10660) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1710593249
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLE RANDALL JUDDCredential: LCPC
Location Address10451 MILL RUN CIR STE 400Owings Mills, MD 21117-5594
Mailing Address10451 Mill Run Cir Ste 400Owings Mills, MD 21117-5594 · (443) 583-4142
Phone(443) 583-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2020
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1710593249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC10660
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC10660 (MD)
10451 MILL RUN CIR STE 400, Owings Mills, MD 21117
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Other Identifiers 2

Medicaid205091900MD
Medicaid363865100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nichole Judd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nichole R Judd Lcpc LLC
Same address
Mental Health
10451 MILL RUN CIR STE 400
Owings Mills, MD 21117
  • Reassigned Medicare billing, Maryland enrollment
NPI 1831784230 (443) 583-4142

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

STARPATH ABA MD LLC
Behavior Analyst
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (732) 232-7626
ALERT RESPONSE, LLC
Emergency Response System Companies
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (972) 318-0161
VIVIAN K HENDERSON LCSW-C
Social Worker (Clinical)
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (443) 219-8482
SHALISA PARTEE LCSW-C
Social Worker (Clinical)
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (443) 648-5025
TRANSFORMATIVE HEALING AND WELLNESS
Social Worker (Clinical)
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (443) 940-5550
AMANAH HOME CARE
Home Health
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (419) 290-5053
EAGLEWINGS HUMAN SERVICES INC
Home Health
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (443) 985-5257
CHERVON WALKER LCSW-C
Social Worker (Clinical)
10451 MILL RUN CIR STE 400
OWINGS MILLS, MD 21117
Baltimore County (410) 344-3787

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 10451 Mill Run Cir Ste 400, Owings Mills, MD 21117. 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 Mental Health, with taxonomy code 101YM0800X.

Is Nichole Judd enrolled in Medicare?

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

Which organization bills Medicare for Nichole Judd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Judd reassigns Medicare benefits to Nichole R Judd Lcpc LLC (Owings Mills, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nichole Judd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nichole Judd was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.