Active NPI
James Judd, CADCI
- Addiction (Substance Use Disorder) Counselor
- Elko, NV
National Provider Identifier
1942675376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CADCI
- Practice address
- 3740 E Idaho St
Elko, NV 89801-4611 - Phone
- (775) 738-4158
- Fax
- (775) 753-6487
- NPI assigned
- Dec 10, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADCI | NV | Primary |
Addresses
Primary practice location
3740 E Idaho St
Elko, NV 89801-4611
Mailing address
PO Box 2580
Elko, NV 89803-2580
Phone (775) 738-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADCI | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1942675376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "ELKO",
"state": "NV",
"postal_code": "898032580",
"telephone_number": "775-738-4158",
"fax_number": "775-753-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 E IDAHO ST",
"city": "ELKO",
"state": "NV",
"postal_code": "898014611",
"telephone_number": "775-738-4158",
"fax_number": "775-753-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "JAMES",
"credential": "CADCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "CADCI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.