Judith A. Hancox, MSW, LCSW, BCETS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089.0000933 Issued in VT

Practice address

7959 VT Route 125
Bridport, VT 05734-4401

Phone

(802) 758-2222

NPI assigned

Apr 12, 2007

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• White Wolf Ministry

  • Mental Health Counselor
  • Bridport, VT
  • NPI 1245878958
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1740404599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 VT ROUTE 125",
            "city": "BRIDPORT",
            "state": "VT",
            "postal_code": "057344401",
            "telephone_number": "802-758-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 VT ROUTE 125",
            "city": "BRIDPORT",
            "state": "VT",
            "postal_code": "057344401",
            "telephone_number": "802-758-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOX",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "MSW, LCSW, BCETS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "089.0000933",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00866200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI  NUMBER",
            "identifier": "1740404599",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Chance Gleason, LICSW
• Her Second Act Counseling Services PLLC
• Amber D Trudo, CMT
• Laurie Webb
• White Wolf Ministry

• Mental Health Counselor in Bridport, VT
• Providers in Bridport, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.