Individual provider Active NPI

Judy Kay Gustafson, LCSW, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Pottstown, PA
National Provider Identifier
1659324713
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2707 Issued in PA
Practice address
3310 W Ridge Pike
Suite 11
Pottstown, PA 19464-3450
Phone
(610) 495-1530
Fax
(610) 495-7840
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2707 PA Primary
Clinical Social Worker 1041C0700X CW015335 PA

Addresses

Primary practice location

3310 W Ridge Pike
Suite 11
Pottstown, PA 19464-3450

Mailing address

PO Box 5052
Limerick, PA 19468-0952
Phone (610) 495-1530

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2707PAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659324713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5052",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194680952",
            "telephone_number": "610-495-1530",
            "fax_number": "610-495-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W RIDGE PIKE",
            "address_2": "SUITE 11",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643450",
            "telephone_number": "610-495-1530",
            "fax_number": "610-495-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JUDY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "2707",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.