Provider Demographics
NPI:1255323572
Name:KULAS, JUDD (MS,NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:JUDD
Middle Name:
Last Name:KULAS
Suffix:
Gender:M
Credentials:MS,NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E LOUTHER ST STE 224
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2611
Mailing Address - Country:US
Mailing Address - Phone:717-877-2101
Mailing Address - Fax:717-918-5468
Practice Address - Street 1:401 E LOUTHER ST STE 224
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2611
Practice Address - Country:US
Practice Address - Phone:717-877-2101
Practice Address - Fax:717-918-5468
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001664101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA810554001OtherPRIME SOURCE
PA50042355OtherCAPITAL BLUE CROSS
PA810554001OtherALLIANCE WORK PARTNERS
PA810554001OtherUNITED BEHAVIORAL HEALTH
PA810554001OtherUNITED HEALTHCARE
PA253687OtherCOMPSYCH
PA810554001OtherAETNA
PA479423OtherVALUE OPTIONS
PA248822OtherMHNET
PA8001959469OtherCOMMUNITY BEH. HEALTH
PA810554001OtherTEAM EAP