Individual provider Active NPI

Jilian M Hus, LMHC, CCMHC

  • Mental Health Counselor
  • Crown Point, IN
National Provider Identifier
1043582042
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39003191A Issued in IN
Practice address
11506 Kentucky St
Crown Point, IN 46307-7207
Phone
(219) 440-2239
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180011750 IL
Mental Health Counselor 101YM0800X 39003191A IN Primary

Addresses

Primary practice location

11506 Kentucky St
Crown Point, IN 46307-7207

Mailing address

11506 Kentucky St
Crown Point, IN 46307-7207
Phone (219) 789-6192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240108004375 IN Practitioner - Mental Health Counselor 1254782816 Reassigns benefits to 1 organization
I20241008001509 IL Practitioner - Mental Health Counselor 1254782816 Reassigns benefits to 1 organization
I20250606003605 MI Practitioner - Mental Health Counselor 1254782816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180011750ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Nwi Clarity Clinic CurrentSince Jan 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

9250 Columbia Ave
Ste 2E
Munster, IN 46321
Phone (219) 595-0043

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1043582042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 KENTUCKY ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077207",
            "telephone_number": "219-789-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11506 KENTUCKY ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077207",
            "telephone_number": "219-440-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUS",
        "first_name": "JILIAN",
        "middle_name": "M",
        "credential": "LMHC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003191A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.