Active NPI
Judy K Jones, LPC
- Mental Health Counselor
- Castle Rock, CO
National Provider Identifier
1457471096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2988
- Practice address
- 831 S Perry St
Suite 100
Castle Rock, CO 80104-1919 - Phone
- (303) 730-8858
- Fax
- (303) 889-0838
- NPI assigned
- Mar 29, 2007
- Last updated
- Oct 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2988 | CO | Primary |
| Mental Health Counselor | 101YM0800X | LPC-2988 | CO |
Addresses
Primary practice location
831 S Perry St
Suite 100
Castle Rock, CO 80104-1919
Mailing address
155 Inverness Dr W Ste 200
Englewood, CO 80112-5000
Phone (303) 730-8858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10687564 | Medicaid | CO |
Other names 1
- Judy Matratet Henninger
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 |
|---|---|---|---|
| LPC-2988 | CO | MD | Mental Health Counselor |
| 2988 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arapahoe Mental Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1457471096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 INVERNESS DR W STE 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125000",
"telephone_number": "303-730-8858",
"fax_number": "303-889-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 S PERRY ST",
"address_2": "SUITE 100",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041919",
"telephone_number": "303-730-8858",
"fax_number": "303-889-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JUDY",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "2988",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC-2988",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10687564",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "HENNINGER",
"middle_name": "MATRATET",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.