Organization Active NPI

Dana Judice LLC

  • Professional Counselor
  • New Iberia, LA
National Provider Identifier
1043629165
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8245 Issued in LA
Legal business name
DANA JUDICE LLC
Practice address
411 Weeks St
New Iberia, LA 70560-4551
Phone
(337) 369-3000
Fax
(337) 369-3001
NPI assigned
Aug 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Mr. Dana Judice, LCSW
Title
Owner/Social Worker
Phone
(337) 369-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8245 LA Primary

Addresses

Primary practice location

411 Weeks St
New Iberia, LA 70560-4551

Mailing address

411 Weeks St
New Iberia, LA 70560-4551
Phone (337) 369-3000

Other identifiers 2

IdentifierTypeStateIssuer
J7263OtherLABLUECROSS
19649867MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1043629165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WEEKS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604551",
            "telephone_number": "337-369-3000",
            "fax_number": "337-369-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WEEKS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604551",
            "telephone_number": "337-369-3000",
            "fax_number": "337-369-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA JUDICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "JUDICE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "337-369-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "J7263",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19649867",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.