Brett M. Judd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-38601 Issued in ID

Practice address

353 E Lander #201
Pocatello, ID 83201-6319

Phone

(208) 904-3225

Fax

(208) 904-3227

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

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.

• B&G International LLC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1447811948
  Medicare reassignment Authorized official
• Peaceful Empowerment Counseling Services LLC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1023980612
  NPD
• The Garden Counseling Center

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1689904120
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1821113895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15149 W LACEY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832025044",
            "telephone_number": "208-904-3225",
            "fax_number": "208-904-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E LANDER #201",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016319",
            "telephone_number": "208-904-3225",
            "fax_number": "208-904-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "BRETT",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-38601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Boyd DMD PLLC
• Joshua D Smith and Associates Inc
• Emily Ann Joslin
• Gianna Qingruo Josten
• Joys Garden Counseling and Wellness LLC
• Gina H Judd, LPC
• Justin Dean Judkins
• Judy PC
• Claine Doyle Judy, D.O.
• June E Heilman MD PA

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.