Individual provider Active NPI

Janet Funk-Beusse

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1376970152
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017356 Issued in IL
Practice address
1230 N Highland Ave
Aurora, IL 60506-1401
Phone
(630) 966-4167
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017356 IL Primary

Addresses

Primary practice location

1230 N Highland Ave
Aurora, IL 60506-1401

Mailing address

1230 N Highland Ave
Aurora, IL 60506-1401
Phone (630) 966-4167

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
I20150520001836 IL Practitioner - Clinical Social Worker 1052631744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Association for Individual DevelopmentGroup PAC ID 7719919034, 7 clinicians

Practice addresses (Care Compare)

1230 N Highland Ave
Aurora, IL 60506-1401
Phone (630) 966-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017356ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Association for Individual Development CurrentSince Apr 27, 2015 Accepting new patients
Association for Individual Development Past Accepting new patients

Locations

1230 N Highland Ave
Aurora, IL 60506
Phone (630) 859-1291

309 New Indian Trail Ct
Aurora, IL 60506
Phone (630) 966-4020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1376970152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061401",
            "telephone_number": "630-966-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061401",
            "telephone_number": "630-966-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK-BEUSSE",
        "first_name": "JANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.