Johnell Judkins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0906014532 Issued in VA

Practice address

701 Windy Way Unit 307
Newport News, VA 23602-5690

Phone

(757) 256-9705

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Felicity Inc

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1003553900
  Medicare reassignment

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1023895273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WINDY WAY UNIT 307",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINDY WAY UNIT 307",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025690",
            "telephone_number": "757-256-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "JOHNELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0906014532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JT Alleyne Enterprises LLC (Lickety Nit)
• JT Alleyne Enterprises LLC
• Bridget Claire Jubon, MS CF-SLP
• Cyndavia Judd
• Selena A Judge, PA-C
• Yujin Jung, D.D.S.
• Daniel Jungkuntz, LMFT, LPC
• Mark Donald Jungling
• Just US Kidz Incorporated
• K.O. Health Services, LLC

• Mental Health Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.