Active NPI
Judy J Walters, MS LMFT
- Marriage & Family Therapist
- Demopolis, AL
National Provider Identifier
1205995313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85
- Practice address
- 1215 S Walnut Ave
Demopolis, AL 36732-3615 - Phone
- (334) 289-2410
- Fax
- (334) 289-2416
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85 | AL | Primary |
Addresses
Primary practice location
1215 S Walnut Ave
Demopolis, AL 36732-3615
Mailing address
1015 Mesopotamia St
Eutaw, AL 35462-1041
Phone (205) 372-3840
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Alabama Mental Health Board | Past | Accepting new patients | |
| West Alabama Mental Health Board | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Demopolis, AL
- NPI 1083781785
-
- Case Management Agency
- Demopolis, AL
- NPI 1689831166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205995313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 MESOPOTAMIA ST",
"city": "EUTAW",
"state": "AL",
"postal_code": "354621041",
"telephone_number": "205-372-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S WALNUT AVE",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367323615",
"telephone_number": "334-289-2410",
"fax_number": "334-289-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JUDY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MS LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "85",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
- Todd Bagwell Vaughan, MD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0731)
- Wal-Mart Stores East, LP (Vision Center 30-0731)
- Yvonne Walker, MASSAGE THERAPIST
- Jacqueline Thomas Walls
- James C Ward, LPC
- Hannah Kathryn Webb
- Hunter Webb, FNP-C
- West Alabama Clinical Care
- West Alabama Health Services, Inc. Dba West Alabama Public Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.