Organization Active NPI

Judymcclatcheysmithmedlpc

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1881844843
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12250 Issued in TX
Legal business name
JUDYMCCLATCHEYSMITHMEDLPC
Practice address
1500 Crockett St
Amarillo, TX 79102-2507
Phone
(806) 374-7727
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Ms. Judy Ann McClatcheysmith, LPC
Title
Counselor
Phone
(806) 374-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 12250 TX Primary

Addresses

Primary practice location

1500 Crockett St
Amarillo, TX 79102-2507

Mailing address

1500 Crockett St
Amarillo, TX 79102-2507
Phone (806) 374-7727

Other identifiers 1

IdentifierTypeStateIssuer
113003104MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1881844843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CROCKETT ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022507",
            "telephone_number": "806-374-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CROCKETT ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022507",
            "telephone_number": "806-374-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDYMCCLATCHEYSMITHMEDLPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "MCCLATCHEYSMITH",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "806-374-7727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "12250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113003104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.