NPIMap

Organization Active NPI

Judith C Christensen, LLC

  • Community/Behavioral Health Agency
  • Fort Dodge, IA
National Provider Identifier
1154511798
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01153 Issued in IA
Legal business name
JUDITH C CHRISTENSEN, LLC
Practice address
809 Central Ave
Suite 420
Fort Dodge, IA 50501-3936
Phone
(515) 955-1836
Fax
(515) 955-7115
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Judith Carol Christensen, LISWNPI 1861536310
Title
Sole Owner/Therapist
Phone
(515) 955-1836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01153 IA Primary

Addresses

Primary practice location

809 Central Ave
Suite 420
Fort Dodge, IA 50501-3936

Mailing address

809 Central Ave
Suite 420
Fort Dodge, IA 50501-3936
Phone (515) 955-1836

Other names 1

  • Lincoln Mental Health Other name

National Provider Directory

National Provider Directory

Locations

1728 Central Ave
Fort Dodge, IA 50501
Phone (515) 955-1836

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1154511798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CENTRAL AVE",
            "address_2": "SUITE 420",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013936",
            "telephone_number": "515-955-1836",
            "fax_number": "515-955-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CENTRAL AVE",
            "address_2": "SUITE 420",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505013936",
            "telephone_number": "515-955-1836",
            "fax_number": "515-955-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH C CHRISTENSEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "SOLE OWNER/THERAPIST",
        "authorized_official_telephone_number": "515-955-1836",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "01153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.