Judith Fudala, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180002603 Issued in IL

Practice address

115 N Arlington Heights Rd
Arlington Heights, IL 60004-6075

Phone

(847) 463-1055

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1356454151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 CASS LN",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073046",
            "telephone_number": "847-494-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046075",
            "telephone_number": "847-463-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDALA",
        "first_name": "JUDITH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081646686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Turner Frisch, M.A. CCC-SLP/L
• Jessica Fritzsche
• James Fruehling, PH.D
• Jacquelyn A Frutiger
• Jessica Fuchs
• Melanie B Fukui, MD
• Annette M. Fuller, PMPNP-BC, MSN, CNL
• Lauren Fuller
• Alexandra Carrington Fulreader, DDS
• Carolynne R. Funk, PSY.D.

• Professional Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.