Individual provider Active NPI

Patricia Joan Harthun, L.C.P.C., C.A.D.C.

  • Counselor
  • Chicago, IL
National Provider Identifier
1306866132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
10725 S Western Ave
2ND Floor
Chicago, IL 60643-3135
Phone
(312) 835-7976
Fax
(773) 239-9857
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IL Primary

Addresses

Primary practice location

10725 S Western Ave
2ND Floor
Chicago, IL 60643-3135

Mailing address

9546 S Hamilton Ave
Chicago, IL 60643-1120
Phone (312) 835-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001799 IL Practitioner - Mental Health Counselor 9436163888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10725 S Western Ave
Chicago, IL 60643-3217
Phone (312) 835-7976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-005415ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Harthun LCPC LTD CurrentSince Dec 1, 2023 Accepting new patients

Locations

10725 S Western Ave
Ste 2
Chicago, IL 60643
Phone (312) 835-7976

10725 S Western Ave
Chicago, IL 60643
Phone (773) 233-6500

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306866132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9546 S HAMILTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431120",
            "telephone_number": "312-835-7976",
            "fax_number": "773-239-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433135",
            "telephone_number": "312-835-7976",
            "fax_number": "773-239-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTHUN",
        "first_name": "PATRICIA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.