Individual provider Active NPI

Yvonne Judge

  • Marriage & Family Therapist
  • Columbus, OH
National Provider Identifier
1649837535
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F.2200283 Issued in OH
Practice address
2550 Corporate Exchange Dr Ste 100
Columbus, OH 43231-1660
Phone
(614) 245-5119
NPI assigned
May 25, 2019
Reactivated
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X F.2200283 OH Primary

Addresses

Primary practice location

2550 Corporate Exchange Dr Ste 100
Columbus, OH 43231-1660

Mailing address

450 W Wilson Bridge Rd Ste 350
Worthington, OH 43085-5220
Phone (614) 245-5119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F.2200283OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne Judge, LLC Marriage & Family Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

38 Triangle Park Dr
Ste 3
Cincinnati, OH 45246

2550 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 245-5119

4100 Horizons Dr
Ste 217
Columbus, OH 43220

450 W Wilson Bridge Rd
Ste 350
Worthington, OH 43085
Phone (614) 245-5119

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1649837535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W WILSON BRIDGE RD STE 350",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855220",
            "telephone_number": "614-245-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CORPORATE EXCHANGE DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432311660",
            "telephone_number": "614-245-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "YVONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-25",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "deactivation_date": "2020-08-27",
        "reactivation_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2200283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.