Active NPI
Judith Julia Garrison, RN-BC, CADC
- Addiction (Substance Use Disorder) Counselor
- Naperville, IL
National Provider Identifier
1447428628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6666
- Practice address
- 113 E Van Buren Ave
Naperville, IL 60540-4947 - Phone
- (630) 865-8616
- Fax
- (630) 848-0445
- NPI assigned
- Feb 11, 2008
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6666 | IL | Primary |
Addresses
Primary practice location
113 E Van Buren Ave
Naperville, IL 60540-4947
Mailing address
113 E Van Buren Ave
Naperville, IL 60540-4947
Phone (630) 865-8616
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6666 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1447428628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E VAN BUREN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605404947",
"telephone_number": "630-865-8616",
"fax_number": "630-848-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E VAN BUREN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605404947",
"telephone_number": "630-865-8616",
"fax_number": "630-848-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "JUDITH",
"middle_name": "JULIA",
"name_prefix": "Mrs.",
"credential": "RN-BC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "6666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.