NPIMap

Organization Active NPI

A Center 4 Change

  • Mental Health Counselor
  • Ashland, KY
National Provider Identifier
1013450212
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
171064 Issued in KY
Legal business name
A CENTER 4 CHANGE
Practice address
5900 US Highway 60 West
Suite B
Ashland, KY 41102
Phone
(606) 393-5586
NPI assigned
Nov 21, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Tonya Judd, D.O.
Title
Owner
Phone
(606) 393-5586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 171064 KY Primary

Addresses

Primary practice location

5900 US Highway 60 West
Suite B
Ashland, KY 41102

Mailing address

5900 US Highway 60 West
Suite B
Ashland, KY 41102
Phone (606) 393-5586

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1013450212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 US HIGHWAY 60 WEST",
            "address_2": "SUITE B",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-393-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 US HIGHWAY 60 WEST",
            "address_2": "SUITE B",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41102",
            "telephone_number": "606-393-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER 4 CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-393-5586",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "171064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.