Judge Whitfield V, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84394 Issued in TX

Practice address

1117 Lexington LN
Desoto, TX 75115-3765

Phone

(214) 280-4582

NPI assigned

Jan 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hamilton Counseling and Consulting, PLLC

  • Professional Counselor
  • Duncanville, TX
  • NPI 1497386502
  Medicare reassignment NPD
• Mercy Health and Veterans Counseling

  dba Mercy Health and Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1831905926

  Single Specialty

  NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1841820776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 LEXINGTON LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153765",
            "telephone_number": "214-280-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 LEXINGTON LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153765",
            "telephone_number": "214-280-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "JUDGE",
        "name_prefix": "Mr.",
        "name_suffix": "V",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14768",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Healthcare Solutions, Inc.
• West Wharton County Hospital District (Five Points Nursing and Rehabilitation)
• Jordan Matthew Wheat, MS, LAT, ATC
• Wheelchair Rolls LLC
• Anna White, LCSW
• Jacqueline Lachalle Whitlock, LVN
• Carole Marie Wilcher, LPC
• Wilkinson Broden Therapy Innovations, LLC
• Alton Jerome Wilks, D.P.M.
• William Burton Fears MD

• Professional Counselor in Desoto, TX
• Providers in Desoto, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.