Judd Peter Walbridge, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

100-0000052 Issued in VT

Practice address

245 S Park Dr
Suite 2
Colchester, VT 05446-5972

Phone

(802) 264-5333

Fax

(802) 264-5338

NPI assigned

Aug 23, 2007

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Counseling Connection Training Institute, PLC

  • Mental Health Counselor
  • Colchester, VT
  • NPI 1467515387
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1235322298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S PARK DR",
            "address_2": "SUITE 2",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465972",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S PARK DR",
            "address_2": "SUITE 2",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054465972",
            "telephone_number": "802-264-5333",
            "fax_number": "802-264-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBRIDGE",
        "first_name": "JUDD",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VT",
            "license": "100-0000052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014041",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary D Viens, LICSW
• Leah Teresa Villemaire, P.A.-C
• VT Center for Dental Implants and Maxillofacial Surgery LLC
• Abigail M Wadsworth, MS, RD, CD
• Kelly Wagner, N.D.
• Walgreen Co (Walgreens #17183)
• Sean Richard Walkama, MA
• Zoe Walsh, ATC
• Kelley T Wassick
• Clare Elaine Watkin

• Marriage & Family Therapist in Colchester, VT
• Providers in Colchester, VT by specialty
• Marriage & Family Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.