Active NPI
Judy Lynn Farwell, LMHC, LPC
- Mental Health Counselor
- Pella, IA
National Provider Identifier
1114187192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001064
- Practice address
- 804 Adams St
Pella, IA 50219-1125 - Phone
- (641) 628-8040
- Fax
- (641) 628-8040
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001064 | IA | Primary |
Addresses
Primary practice location
804 Adams St
Pella, IA 50219-1125
Mailing address
804 Adams St
Pella, IA 50219-1125
Phone (641) 628-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001064 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1114187192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 ADAMS ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191125",
"telephone_number": "641-628-8040",
"fax_number": "641-628-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 ADAMS ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191125",
"telephone_number": "641-628-8040",
"fax_number": "641-628-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARWELL",
"first_name": "JUDY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMHC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.