Individual provider Active NPI

Bethany Juran I

  • Professional Counselor
  • Lincolnshire, IL
National Provider Identifier
1194310920
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014724 Issued in IL
Practice address
111 Barclay Blvd Ste 318
Lincolnshire, IL 60069-3623
Phone
(847) 748-2019
NPI assigned
Mar 3, 2021
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178013846 IL
Professional Counselor 101YP2500X 180.014724 IL Primary

Addresses

Primary practice location

111 Barclay Blvd Ste 318
Lincolnshire, IL 60069-3623

Mailing address

357 N Macarthur Dr
Palatine, IL 60074-3884
Phone (847) 894-5932

Other practice location 1

3205 N Wilke Rd Ste 112
Arlington Heights, IL 60004-0001
Phone (847) 253-9769

Other names 1

  • Miss Bethany Juran Professional name

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

LicenseStateTypeSpecialty
178013846ILMDProfessional Counselor
180.014724ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Consulting Services of Illinois Inc. Professional CurrentSince Mar 1, 2021 Accepting new patients
Comfortable Counseling LLC Professional PastSince Sep 20, 2022 Accepting new patients

Locations

3205 N Wilke Rd
Ste 112
Arlington Heights, IL 60004
Phone (847) 253-9769

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1194310920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 N MACARTHUR DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600743884",
            "telephone_number": "847-894-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BARCLAY BLVD STE 318",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693623",
            "telephone_number": "847-748-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 N Wilke Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600040001",
            "country_code": "US",
            "telephone_number": "847-253-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURAN",
        "first_name": "BETHANY",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013846",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "JURAN",
            "prefix": "MISS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.