Carrie A Jura, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012534 Issued in IL

Practice address

103 W Sumner St
Harvard, IL 60033-2898

Phone

(815) 220-5749

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

91.66 of 100Reported as group

Quality

80.64

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deer Oaks Mid-West LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1154978476

  IL

  Medicare reassignment NPD
• Kohn Group, LTD

  • Psychiatry Physician
  • McHenry, IL
  • NPI 1639263197
  NPD (past)
• Trinty Chiropractic and Wellnes LTD

  • Chiropractor
  • McHenry, IL
  • NPI 1700994407
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1326357351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W SUMNER ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600332898",
            "telephone_number": "815-220-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W SUMNER ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600332898",
            "telephone_number": "815-220-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURA",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joal Honorat, APRN
• Hristo D Hristov, MD
• Bryan Huitzacua
• Illinois Geriatric Psychological Services P.C.
• JS Dental, LLC
• Sheila Booc Kafka, PT
• Morgen M Kaiser, D.D.S.
• Anthony M Katagang, PTA
• David F Kavanaugh, DO
• Sandra Lee Knop, MA, CCC-SLP

• Clinical Social Worker in Harvard, IL
• Providers in Harvard, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.

Verify at the official NPI Registry.