Individual provider Active NPI

Judd Alan Hultman, M.A.

  • Counselor
  • Johnstown, PA
National Provider Identifier
1831361625
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
188 Gilbert St
Johnstown, PA 15906-3238
Phone
(814) 539-7339
Fax
(814) 535-2219
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

188 Gilbert St
Johnstown, PA 15906-3238

Mailing address

131 Market St
Johnstown, PA 15901-1628
Phone (814) 534-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240528002991 PA Practitioner - Mental Health Counselor 4587016001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Somerset Developmental and Behavioral Health Services 14 clinicians

Practice addresses (Care Compare)

245 W Race St
Somerset, PA 15501-1922
Phone (814) 443-4891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Somerset Developmental and Behavioral Health Services CurrentSince Apr 2, 2024 Accepting new patients
Alternative Community Resource Program Past Accepting new patients
Alternative Community Resource Program, Inc. Past Accepting new patients

Locations

245 W Race St
Somerset, PA 15501
Phone (814) 443-4891

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1831361625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-534-0745",
            "fax_number": "814-536-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 GILBERT ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159063238",
            "telephone_number": "814-539-7339",
            "fax_number": "814-535-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTMAN",
        "first_name": "JUDD",
        "middle_name": "ALAN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.