Individual provider Active NPI

Judith Ann Lee, LMFT

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1265572242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
622 Issued in CO
Practice address
6208 Lehman Dr
Suite 106
Colorado Springs, CO 80918-8408
Phone
(719) 661-8024
Fax
(719) 266-9989
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 622 CO Primary

Addresses

Primary practice location

6208 Lehman Dr
Suite 106
Colorado Springs, CO 80918-8408

Mailing address

5717 Tuckerman LN
Colorado Springs, CO 80918-1938
Phone (719) 593-9775

Other identifiers 2

IdentifierTypeStateIssuer
11681273OtherCOCAQH
622OtherCOMARRIEAGE AND FAMILY THER

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

LicenseStateTypeSpecialty
622COMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265572242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 TUCKERMAN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181938",
            "telephone_number": "719-593-9775",
            "fax_number": "719-266-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 LEHMAN DR",
            "address_2": "SUITE 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188408",
            "telephone_number": "719-661-8024",
            "fax_number": "719-266-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11681273",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIEAGE AND FAMILY THER",
            "identifier": "622",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

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.

Verify at the official NPI Registry.