Individual provider Active NPI

Joyce Jiseon Jung

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1679434385
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.020546 Issued in IL
Practice address
3330 Dundee Rd
Northbrook, IL 60062-2318
Phone
(847) 813-9079
Fax
(847) 813-6118
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 178.020546 IL Primary

Addresses

Primary practice location

3330 Dundee Rd
Northbrook, IL 60062-2318

Mailing address

293 Oakwood Rd
Vernon Hills, IL 60061-2711
Phone (816) 872-9245

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
I20260420000623 IL Practitioner - Mental Health Counselor 9931681731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2640 Deerfield Rd
Riverwoods, IL 60015-3808

293 Oakwood Rd
Vernon Hills, IL 60061-2711

80 Pine St
FL 21
New York, NY 10005-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.020546ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Mental Health Institute LLC Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

3330 Dundee Rd
Northbrook, IL 60062
Phone (847) 813-9079

3330 Dundee Rd
Ste S5
Northbrook, IL 60062
Phone (847) 272-3700

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": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679434385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 OAKWOOD RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612711",
            "telephone_number": "816-872-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-813-9079",
            "fax_number": "847-813-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "JOYCE",
        "middle_name": "JISEON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.020546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.