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MADISON JUDY
NPI 1629890249
Peer Specialist in Idaho Falls, ID

Active since October 25, 2024
502 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 348-7500 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Judy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON JUDY (NPI 1629890249) is an individual peer specialist in Idaho Falls, Idaho and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1629890249
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMADISON JUDY
Location Address502 S WOODRUFF AVEIdaho Falls, ID 83401-5298
Mailing Address502 S Woodruff AveIdaho Falls, ID 83401-5298
Phone(208) 348-7500
Sole ProprietorNo
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1629890249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
502 S WOODRUFF AVE, Idaho Falls, ID 83401
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE E BARE
Social Worker
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500
KEATON JAKE SUITTER LPC
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500
KATHLEEN VICTORIA PODUSKA LCPC
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500
FERNANDO REYNA
Peer Specialist
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (801) 928-4934
CORY STEELE
Counselor (Mental Health)
502 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 346-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Judy's NPI number?

The NPI number for Madison Judy is 1629890249. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Madison Judy located?

Madison Judy practices at 502 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 348-7500.

What is Madison Judy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Madison Judy was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.