Judy Royce Stedje, MA LPC LLC MEMBER

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4495 Issued in OK

Practice address

216 NW 4TH St
Guymon, OK 73942-4709

Phone

(580) 338-7082

Fax

(580) 338-7082

NPI assigned

Aug 2, 2011

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Judy Royce Gillispie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Panhandle Services for Children, Inc

  • Community/Behavioral Health Agency
  • Guymon, OK
  • NPI 1043656598
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1649558057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW 4TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424709",
            "telephone_number": "580-338-7082",
            "fax_number": "580-338-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NW 4TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739424709",
            "telephone_number": "580-338-7082",
            "fax_number": "580-338-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEDJE",
        "first_name": "JUDY",
        "middle_name": "ROYCE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC LLC MEMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4495",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "58510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "GILLISPIE",
            "middle_name": "ROYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole L Spry
• SRP Guymon, LLC (Memorial Hospital of Texas County)
• Carmin Angel Stark, BS
• State of Oklahoma (Northwest Center For Behavioral Health)
• Jessica Brianne Stedje
• Laura H. Stevens, OTR/L
• Danny Lee Stone, C-PRSS-O/G
• Jake Strain, D.P.T.
• Dolores Swart
• Sylvia Tan, M.D.

• Professional Counselor in Guymon, OK
• Providers in Guymon, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.