Organization Active NPI

Jim Judkins Lisw LLC

  • Adult Mental Health Clinic/Center
  • Melbourne, IA
National Provider Identifier
1881556728
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JIM JUDKINS LISW LLC
Practice address
302 3Rd St
Melbourne, IA 50162-7722
Phone
(641) 485-2914
Fax
(641) 505-2680
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. James Everett Judkins, LISWNPI 1962437848
Title
Business Owner
Phone
(641) 485-2914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

302 3Rd St
Melbourne, IA 50162-7722

Mailing address

302 3Rd St
Melbourne, IA 50162-7722
Phone (641) 485-2914

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1881556728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 3RD ST",
            "city": "MELBOURNE",
            "state": "IA",
            "postal_code": "501627722",
            "telephone_number": "641-485-2914",
            "fax_number": "641-505-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 3RD ST",
            "city": "MELBOURNE",
            "state": "IA",
            "postal_code": "501627722",
            "telephone_number": "641-485-2914",
            "fax_number": "641-505-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM JUDKINS LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "641-485-2914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.