Judith Kay Lee, LCSW, LIMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18938 Issued in AZ

Practice address

600 E State Highway 260 Ste 1
Payson, AZ 85541-4967

Phone

(480) 788-6070

NPI assigned

Dec 5, 2006

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NE2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska Peace of Mind Behavioral HealthGroup PAC ID 7517341506, 8 clinicians

Ponderosa Family Care LLCGroup PAC ID 1456548015, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBDA
• Direct secure messaging: judith.lee.1@15452.direct.athenahealth.com

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.

• Ponderosa Family Care, LLC

  • Internal Medicine Physician
  • Payson, AZ
  • NPI 1144535626
  Medicare reassignment Care Compare group NPD
• Nebraska Peace of Mind Behavioral Health

  dba NPM Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1740910736
  Medicare reassignment Care Compare group NPD
• Ponderosa Family Care, LLC

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1992321723
  NPD
• A Knew You and Wellness LLC

  • Geriatric Psychiatry Physician
  • Bristol, RI
  • NPI 1790391365
  NPD (past)
• Rangely Hospital District

  dba Rangely Family Medicine

  • Rural Health Clinic/Center
  • Rangely, CO
  • NPI 1144811415
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114085529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ABRAHAM ST",
            "city": "FIRTH",
            "state": "NE",
            "postal_code": "683586242",
            "telephone_number": "309-351-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE HIGHWAY 260 STE 1",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414967",
            "telephone_number": "480-788-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUDITH",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "5397",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1863",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09928931",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2258",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "18938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Lee Kelton, MS CCC SLP
• Spencer Kirsteatter, DPT
• Kristin M Wade DMD PLLC (Payson Premier Dental)
• Gilles Lachance, MD
• Lee a Woods LCSW PC
• Libbie Ann Lee, DPT
• Betty Ann Liebzeit, RN
• Lifestar LLC (Canyon State Ambulance)
• Lincare Inc.
• Lone Wolf Medicine, Inc

• Clinical Social Worker in Payson, AZ
• Providers in Payson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.