Individual provider Active NPI

Rachel Marie Judd, MS, LPC, NCC

  • Mental Health Counselor
  • Bedford, TX
National Provider Identifier
1659126332
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89359 Issued in TX
Practice address
2409 Meadow Park Cir Apt 4H
Bedford, TX 76021-7866
Phone
(682) 319-9101
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89359 TX Primary

Addresses

Primary practice location

2409 Meadow Park Cir Apt 4H
Bedford, TX 76021-7866

Mailing address

2409 Meadow Park Cir Apt 4H
Bedford, TX 76021-7866

Other practice location 1

1835 E Southlake Blvd Ste 100
Southlake, TX 76092-7068
Phone (817) 769-7687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1659126332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MEADOW PARK CIR APT 4H",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760217866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MEADOW PARK CIR APT 4H",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760217866",
            "telephone_number": "682-319-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 E Southlake Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760927068",
            "country_code": "US",
            "telephone_number": "817-769-7687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.