Individual provider Active NPI

Judith Jodi McIntosh, MFT

  • Marriage & Family Therapist
  • Tigard, OR
National Provider Identifier
1700926045
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2941 Issued in OR
Practice address
9600 SW Oak St Ste 500&520
Tigard, OR 97223-6583
Phone
(503) 894-3556
NPI assigned
Feb 7, 2007
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 MFC42850 CA
Marriage & Family Therapist 106H00000X T2941 OR Primary

Addresses

Primary practice location

9600 SW Oak St Ste 500&520
Tigard, OR 97223-6583

Mailing address

2795 NE John Olsen Ave Apt J137
Hillsboro, OR 97124-6961
Phone (503) 894-3556

Other names 1

  • Judith Marie Burke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820004978 OR Practitioner - Marriage and Family Therapist 3779083175 Practice locations: Hillsboro, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Hillsboro, OR 97124
Phone (925) 334-6937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC42850CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1700926045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 NE JOHN OLSEN AVE APT J137",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246961",
            "telephone_number": "503-894-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW OAK ST STE 500&520",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236583",
            "telephone_number": "503-894-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JUDITH",
        "middle_name": "JODI",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42850",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BURKE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.