Active NPI
Juda Cotton, LPCA
- Mental Health Counselor
- Shelbyville, KY
National Provider Identifier
1710187760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 250 Alpine Dr
Shelbyville, KY 40065-8880 - Phone
- (502) 589-1100
- Fax
- (502) 589-8771
- NPI assigned
- Jul 18, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
250 Alpine Dr
Shelbyville, KY 40065-8880
Mailing address
4473 Pea Ridge Rd
Waddy, KY 40076-6151
Phone (502) 829-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1710187760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4473 PEA RIDGE RD",
"city": "WADDY",
"state": "KY",
"postal_code": "400766151",
"telephone_number": "502-829-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ALPINE DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658880",
"telephone_number": "502-589-1100",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "JUDA",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.