Active NPI
Judd Alan Hultman, M.A.
- Counselor
- Johnstown, PA
National Provider Identifier
1831361625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Somerset Developmental and Behavioral Health Services | Current | 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.
-
- Community/Behavioral Health Agency
- Somerset, PA
- NPI 1881818672
PA
-
- Community/Behavioral Health Agency
- Johnstown, PA
- NPI 1013182872
-
- Community/Behavioral Health Agency
- Johnstown, PA
- NPI 1497979587
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.