Active NPI
Jean S Huryn, LPA
- Cognitive & Behavioral Psychologist
- New Bern, NC
National Provider Identifier
1053518142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 1975
- Practice address
- 1401 Park Ave.
Promise Place
New Bern, NC 28560-5502 - Phone
- (252) 636-3381
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1975 | NC | Primary |
| Clinical Psychologist | 103TC0700X | 1975 | NC | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1975 | NC |
Addresses
Primary practice location
1401 Park Ave.
Promise Place
New Bern, NC 28560-5502
Mailing address
204 Camelia Rd
New Bern, NC 28562-7604
Phone (252) 671-1434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107432 | Medicaid | NC | |
| 141FG | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1975 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Place | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- New Bern, NC
- NPI 1972771525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1053518142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CAMELIA RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285627604",
"telephone_number": "252-671-1434",
"fax_number": "252-638-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PARK AVE.",
"address_2": "PROMISE PLACE",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285605502",
"telephone_number": "252-636-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURYN",
"first_name": "JEAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1975",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1975",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1975",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107432",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "141FG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.