JASON R JUDD (NPI# 1033323209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033323209 |
| Entity Type | Individual |
| Full Name | JASON R JUDD |
| Credential | PC |
| Practice Address |
204 Cook Rd Lebanon OH 45036-9600 |
| Mailing Address |
107 Oregonia Rd 2nd Floor Lebanon OH 45036-3903 |
| Practice Telephone | 5136951357 |
| Practice Fax Number | 5136952952 |
| Mailing Telephone | 5136952411 |
| Mailing Fax Number | 5136952309 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C-500765 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649424342 | Jason Knapp Judd | Dentist | 1942 E Southern Ave, Mesa, AZ 85204-5245 | 2008-11-06 |
| 1285778019 | Jason Edward Judd | Chiropractor | 530 W Fir St, Suite A, Sequim, WA 98382-3284 | 2007-02-16 |
| Street Address |
204 COOK RD |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570364 | Angela D Johnsen | Social Worker | 204 Cook Rd, Lebanon, OH 45036 | 2006-03-03 |
| 1558977504 | Katherine Amy Williams | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2020-09-16 |
| 1760940688 | Chanel L Hall | Case Manager/Care Coordinator | 204 Cook Rd, Lebanon, OH 45036-9600 | 2019-03-10 |
| 1306332507 | Tracy S. Siemer | Social Worker | 204 Cook Rd, Lebanon, OH 45036 | 2018-07-11 |
| 1720452972 | Brandon Page | Case Manager/Care Coordinator | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-25 |
| 1649644105 | Taressa Ingle | Case Manager/Care Coordinator | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-20 |
| 1174996078 | David Franke | Social Worker | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-11-02 |
| 1518341312 | Kaitlyn Sheeran | Social Worker | 204 Cook Rd, Suite 400, Lebanon, OH 45036-9600 | 2015-07-13 |
| 1245622000 | Allison M Robertson | Social Worker | 204 Cook Rd, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1598162406 | Heather R Nguyen | Marriage & Family Therapist | 204 Cook Rd, Lebanon, OH 45036-9600 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336775162 | Melinda Butterfield | Counselor | 2515 Stoltz Hill Rd, Lebanon, OR 97355-1146 | 2020-03-12 |
| 1073145330 | Jamie L Ralston | Counselor | 5232 W State Route 63, Lebanon, OH 45036-8202 | 2020-02-05 |
| 1114480381 | Courtney Nicole Mudd | Counselor | 65 Old Springfield Rd Ste 2, Lebanon, KY 40033-9185 | 2019-04-12 |
| 1407356892 | Susannah Williams | Counselor | 1700 S Lincoln Ave Fl 3, Lebanon, PA 17042-7529 | 2018-02-13 |
| 1861853657 | Justin Donnelly | Counselor | 135 Quita Cir Apt B, Lebanon, TN 37087-4440 | 2016-03-08 |
| 1407213465 | Benjamin Peavey | Counselor | 1 Hough St, Lebanon, NH 03766-1213 | 2016-01-21 |
| 1093107856 | Leslie D Anders | Counselor | 204 Cook Rd Ste 400, Lebanon, OH 45036-9600 | 2015-03-03 |
| 1568708972 | Amy Lesher | Counselor | 200 N &th Street, Lebanon, PA 17046 | 2012-12-13 |
| 1063776037 | Tammy Lynn Mattingly | Counselor | 2894 Sam Browning Rd, Lebanon, KY 40033-9114 | 2012-06-25 |
| 1114205739 | Katie Baghli | Counselor | 204 Hathaway Park, Lebanon, PA 17042-6162 | 2011-07-31 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.