Judith Carol Henrifarry, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

41943 Big Bear Blvd., Suite 227
Big Bear Lake, CA 92315-8980

Phone

(909) 800-8848

Fax

(909) 866-8580

NPI assigned

Nov 9, 2010

Last updated

Nov 29, 2016By the provider in NPPES

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 CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1205137148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131018",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923158980",
            "telephone_number": "909-800-8848",
            "fax_number": "909-866-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41943 BIG BEAR BLVD., SUITE 227",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923158980",
            "telephone_number": "909-800-8848",
            "fax_number": "909-866-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIFARRY",
        "first_name": "JUDITH",
        "middle_name": "CAROL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.