Organization Active NPI

Nichole R Judd LCPC LLC

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1831784230
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NICHOLE R JUDD LCPC LLC
Practice address
10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Phone
(443) 583-4142
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Nichole Randall Judd, LCPCNPI 1710593249
Title
Clinician/Practitioner
Phone
(443) 583-4142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594

Mailing address

10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Phone (443) 583-4142

Other names 1

  • Bloom Center for Mental Health and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260410001296 MD Part B Supplier - Clinic/Group Practice 6800361437 Receives reassigned benefits from 1 practitioner
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1831784230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175594",
            "telephone_number": "443-583-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175594",
            "telephone_number": "443-583-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE R JUDD LCPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CLINICIAN/PRACTITIONER",
        "authorized_official_telephone_number": "443-583-4142",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Center for Mental Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.