Individual provider Active NPI

Judy Harun, LPC

  • Professional Counselor
  • Fairbanks, AK
National Provider Identifier
1235571415
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
129761 Issued in AK
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

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MH3237MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, AK3 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
I20240120000046 TX Practitioner - Mental Health Counselor 8820440324 Reassigns benefits to 1 organization
I20240124003442 OR Practitioner - Mental Health Counselor 8820440324 Reassigns benefits to 1 organization
I20240125004133 AK Practitioner - Mental Health Counselor 8820440324 Reassigns benefits to 2 organizations

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
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

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

LicenseStateTypeSpecialty
129761AKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC Counselor CurrentSince Jan 1, 2024 Accepting new patients
Achieve Medical Alaska LLC CurrentSince Jan 1, 2024 Accepting new patients
Headlight Health Medical Group PLLC Counselor CurrentSince Feb 25, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.