Kyle Tudor

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

129 S Main St Ste T
Lewistown, PA 17044-2386

Phone

(717) 857-2321

Fax

(223) 262-0962

NPI assigned

Sep 22, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Center for Behavioral Health Ha, LLC

  • Methadone Clinic
  • Lewistown, PA
  • NPI 1295595569
  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1679445498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST STE T",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442386",
            "telephone_number": "717-857-2321",
            "fax_number": "223-262-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S MAIN ST STE T",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442386",
            "telephone_number": "717-857-2321",
            "fax_number": "223-262-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOR",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Taylor, LPC
• Melissa Lynn Thomas, CRNP
• David Trinclisti
• Gopalkrisha M Trivedi, MD
• Kasandra Nichole Trott, DPM
• Robin Tuttle, PA-C
• Robert K Ueda, MD
• Natasha Ufema, L.P.C.
• Cory Ulisse, PHARMD
• Universal Community Behavioral Health Inc

• All providers in Lewistown, PA
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.