Active NPI
Gayla Carol Judd
- Addiction (Substance Use Disorder) Counselor
- Eureka, CA
National Provider Identifier
1053945527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 944 N St
Eureka, CA 95501-2045 - Phone
- (707) 443-0514
- Fax
- (707) 442-1191
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
944 N St
Eureka, CA 95501-2045
Mailing address
PO Box 6310
Eureka, CA 95502-6310
Phone (707) 443-4237
Other practice location 1
1120 9th St
Eureka, CA 95501-1936
Phone (707) 443-2033
Other practice location 2
1116 9th St
Eureka, CA 95501-1936
Phone (707) 443-2033
Other practice location 3
1024 N St
Eureka, CA 95501-2047
Phone (707) 269-9566
Other practice location 4
1303 11th St
Eureka, CA 95501-2028
Phone (707) 444-6262
Other practice location 5
1219 10th St
Eureka, CA 95501-2024
Phone (707) 443-0514
Other practice location 6
905 L St
Eureka, CA 95501-1943
Phone (707) 443-2033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073023107 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Humboltrecoverycenter.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt Recovery Center Inc., | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Eureka, CA
- NPI 1073023107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1053945527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6310",
"city": "EUREKA",
"state": "CA",
"postal_code": "955026310",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 N ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955012045",
"telephone_number": "707-443-0514",
"fax_number": "707-442-1191"
}
],
"practiceLocations": [
{
"address_1": "1120 9th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011936",
"country_code": "US",
"telephone_number": "707-443-2033",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1116 9th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011936",
"country_code": "US",
"telephone_number": "707-443-2033",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1024 N St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012047",
"country_code": "US",
"telephone_number": "707-269-9566",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1303 11th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012028",
"country_code": "US",
"telephone_number": "707-444-6262",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1219 10th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012024",
"country_code": "US",
"telephone_number": "707-443-0514",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "905 L St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011943",
"country_code": "US",
"telephone_number": "707-443-2033",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUDD",
"first_name": "GAYLA",
"middle_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073023107",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Humboltrecoverycenter.org",
"affiliation": "N",
"address_1": "1219 10th St",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955012024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.