JUDITH TART KETTNER LPC MS LMFT
NPI 1982688180
Marriage & Family Therapist in Jacksonville, NC

Active since December 01, 2005
200 VALENCIA DR, SUITE 109, JACKSONVILLE, NC 28546(910) 346-9000(910) 355-0672 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith Tart Kettner Lpc Ms Lmft NPPES

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

JUDITH TART KETTNER LPC MS LMFT (NPI 1982688180) is an individual marriage & family therapist in Jacksonville, North Carolina, licensed in North Carolina (NC LMFT 516) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1982688180
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUDITH TART KETTNERCredential: LPC MS LMFT
Location Address200 VALENCIA DR, SUITE 109Jacksonville, NC 28546-7356
Mailing Address200 Valencia Dr, Suite 109Jacksonville, NC 28546-7356 · (910) 346-9000 · Fax (910) 355-0672
Fax(910) 355-0672
Sole ProprietorYes
Enumeration DateDecember 1, 2005
Last NPPES UpdateJune 4, 2012
NPI 1982688180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in NC · NC LMFT 516
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License NC LPC 3778 (NC)
200 VALENCIA DR, Jacksonville, NC 28546

Other Identifiers 1

Other131CHBlue Cross Blue Shield

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
200 VALENCIA DR, SUITE 108
JACKSONVILLE, NC 28546
Counselor (Professional)
200 VALENCIA DR, SUITE 137
JACKSONVILLE, NC 28546
Speech-Language Pathologist
200 VALENCIA DR, #118
JACKSONVILLE, NC 28546
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 VALENCIA DR, SUITE 127
JACKSONVILLE, NC 28546
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
200 VALENCIA DR, SUITE 102&103
JACKSONVILLE, NC 28546
Counselor
200 VALENCIA DR, SUITE 137
JACKSONVILLE, NC 28546
Counselor (Mental Health)
200 VALENCIA DR, SUITE 135
JACKSONVILLE, NC 28546
Nursing Facility/Intermediate Care Facility
200 VALENCIA DR, SUITE 103
JACKSONVILLE, NC 28546

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 Judith Kettner's NPI number?

The NPI number for Judith Kettner is 1982688180. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Judith Kettner located?

Judith Kettner practices at 200 Valencia Dr Suite 109, Jacksonville, NC 28546. The listed phone number is (910) 346-9000.

What is Judith Kettner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Judith Kettner was last updated on June 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.