Active NPI
Holly Kristine Judge, MS LPC
- Professional Counselor
- Gilbert, AZ
National Provider Identifier
1780727131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 2273
- Practice address
- 3303 E Baseline Rd
BLDG 6 #114
Gilbert, AZ 85234 - Phone
- (602) 397-0728
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 2273 | AZ | Primary |
Addresses
Primary practice location
3303 E Baseline Rd
BLDG 6 #114
Gilbert, AZ 85234
Mailing address
1265 S Corrine Drive
Gilbert, AZ 85296
Phone (480) 812-3644
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 2273 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780727131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S CORRINE DRIVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85296",
"telephone_number": "480-812-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 E BASELINE RD",
"address_2": "BLDG 6 #114",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85234",
"telephone_number": "602-397-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "HOLLY",
"middle_name": "KRISTINE",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC 2273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.