Judeth L Thorndike, LISAC, BSBA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LISAC1602 Issued in AZ

Practice address

335 S Ocotillo Ave
Benson, AZ 85602

Phone

(520) 586-4040

Fax

(520) 586-4423

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1992897227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CALLE PORTAL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352900",
            "telephone_number": "520-459-3012",
            "fax_number": "520-515-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-586-4040",
            "fax_number": "520-586-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNDIKE",
        "first_name": "JUDETH",
        "middle_name": "L",
        "credential": "LISAC, BSBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sowersby
• Stephanie Starnes, NP-C
• Marcos Andres Teran, MD
• The Evangelical Lutheran Good Samaritan Society
• Cherie Alta Thomas, M.D.
• Tracey Lynn Tinnon, RN,MSN,FNP-BC
• Robin A. Toole, MSW, LCSW
• Caleb Torres, FNP
• Richard Alain Trepanier, R.PH.
• Brian Lee Turner

• Addiction (Substance Use Disorder) Counselor in Benson, AZ
• Providers in Benson, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.