Organization Active NPI

Yvonne Judge, LLC

  • Marriage & Family Therapist
  • Columbus, OH
National Provider Identifier
1891308870
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
YVONNE JUDGE, LLC
Practice address
2550 Corporate Exchange Dr Ste 100
Columbus, OH 43231-1660
Phone
(614) 245-5119
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Yvonne Judge, MFTNPI 1649837535
Title
Owner
Phone
(937) 516-3607

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2550 Corporate Exchange Dr Ste 100
Columbus, OH 43231-1660

Mailing address

6750 Sawyers Creek Rd
Westerville, OH 43081-7676
Phone (614) 245-5119

Other practice location 1

38 Triangle Park Dr
Cincinnati, OH 45246-3421
Phone (513) 506-1866

Other practice location 2

450 W Wilson Bridge Rd Ste 350
Worthington, OH 43085-5220
Phone (614) 245-5119

Other names 1

  • Revitalize You Doing business as

National Provider Directory

National Provider Directory

Locations

38 Triangle Park Dr
Cincinnati, OH 45246
Phone (513) 506-1866

38 Triangle Park Dr
Ste 3
Cincinnati, OH 45246

1025 W 3rd Ave
Ste 4
Columbus, OH 43212

2550 Corporate Exchange Dr
Ste 100
Columbus, OH 43231
Phone (614) 245-5119

4100 Horizons Dr
Ste 217
Columbus, OH 43220

450 W Wilson Bridge Rd
Ste 350
Worthington, OH 43085
Phone (614) 245-5119

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1891308870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 SAWYERS CREEK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817676",
            "telephone_number": "614-245-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CORPORATE EXCHANGE DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432311660",
            "telephone_number": "614-245-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Triangle Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452463421",
            "country_code": "US",
            "telephone_number": "513-506-1866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 W Wilson Bridge Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430855220",
            "country_code": "US",
            "telephone_number": "614-245-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YVONNE JUDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-516-3607",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revitalize You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.