Xiujuan Tu

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6417 W Irving Park Rd
Chicago, IL 60634-2437

Phone

(773) 777-7112

Fax

(773) 777-7059

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Youth Outreach Services

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1659825560
  NPD (past)
• Youth Outreach Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1770704579
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1679110720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342437",
            "telephone_number": "773-777-7112",
            "fax_number": "773-777-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342437",
            "telephone_number": "773-777-7112",
            "fax_number": "773-777-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "XIUJUAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACA MEMBER CERTIFICATION",
            "identifier": "6519075",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHICAGO",
            "affiliation": "N",
            "address_1": "6417 W Irving Park Rd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606342437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elmer Y. Tu, M.D.
• Hoa A Tu, PT
• Jim Tu, PHARM.D.
• Santine Tu, APN, FNP-BC
• Shaun Tu, PT
• Tuan Cao DDS PC
• Kennedy Tuano
• Jennifer Alvaran Tuazon, M.D.
• Jerry Tuazon, PHARMD, BCPS
• Jenine K Tubergen, OTR/L

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.