Nathan Judd, M.S.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2832 Issued in TN

Practice address

3641 Youth Town Rd
Pinson, TN 38366-9804

Phone

(731) 988-5251

Fax

(731) 427-5605

NPI assigned

Aug 19, 2009

Last updated

Oct 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Counseling, PLLC

  • Mental Health Counselor
  • Henderson, TN
  • NPI 1336818111
  NPD Authorized official
• Youth Town of Tennessee, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pinson, TN
  • NPI 1902996721
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1386876746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383021385",
            "telephone_number": "731-988-5251",
            "fax_number": "731-427-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 YOUTH TOWN RD",
            "city": "PINSON",
            "state": "TN",
            "postal_code": "383669804",
            "telephone_number": "731-988-5251",
            "fax_number": "731-427-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 W Main St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383402231",
            "country_code": "US",
            "telephone_number": "731-988-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "NATHAN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527990",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric J Bausch, LPC
• Clark Builders
• Bobbie Coley, M.S
• Larry Anthony Ivery Sr., LPC-MHSP
• David Lee Lynch, LPC
• Jeremy M Northrop, PHD
• Shannon Ross, R.N.
• Alice Malone Scott, PH.D
• Jonathan E Searcy, LCSW

• Professional Counselor in Pinson, TN
• Providers in Pinson, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.