Active NPI
Judy Harun, LPC
- Professional Counselor
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 129761
- Practice address
- 1867 Airport Way Ste 200
Fairbanks, AK 99701-4061 - Phone
- (907) 802-2493
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 129761 | AK | Primary |
Addresses
Primary practice location
1867 Airport Way Ste 200
Fairbanks, AK 99701-4061
Mailing address
PO Box 601422
San Diego, CA 92160-1422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH3237 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1917 Abbott Rd
Suite 101
Anchorage, AK 99507-3449
Phone (907) 802-2493
4201 W Parmer LN
Suite B225
Austin, TX 78727-4160
Phone (877) 840-6956
4800 S Macadam Ave
Suite 230
Portland, OR 97239-3927
Phone (877) 840-6956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129761 | AK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sokyahealth Medical Group PC | Counselor | Current | Accepting new patients |
| Achieve Medical Alaska LLC | Current | Accepting new patients | |
| Headlight Health Medical Group PLLC | Counselor | Current | Accepting new patients |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
1917 Abbott Rd
Ste 101
Anchorage, AK 99507
Phone (907) 440-4420
2741 Debarr Rd
Ste 411
Anchorage, AK 99508
Phone (907) 331-0140
4800 S Macadam Ave
Ste 230
Portland, OR 97239
Phone (866) 657-6592
8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592
700 NE Multnomah St
Ste 870
Portland, OR 97232
Phone (503) 238-5559
1827 NE 44th Ave
Ste 310
Portland, OR 97213
Phone (503) 298-4592
4201 W Parmer Ln
Ste B225
Austin, TX 78727
Interoperability endpoints
- judy.harun.p1@direct.sokya.nextgenshare.com
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Wasilla, AK
- NPI 1922648690
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1235571415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601422",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921601422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1867 AIRPORT WAY STE 200",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014061",
"telephone_number": "907-802-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARUN",
"first_name": "JUDY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "129761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MH3237",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.