Raphael A Juss, EDD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1300 N Lake Shore Drive
Suite 13D
Chicago, IL 60610-2193

Phone

(312) 642-7785

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1689864126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LAKE SHORE DRIVE",
            "address_2": "SUITE 13D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102193",
            "telephone_number": "312-642-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LAKE SHORE DRIVE",
            "address_2": "SUITE 13D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102193",
            "telephone_number": "312-642-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSS",
        "first_name": "RAPHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC 365",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": "10580",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "969747",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": "1233025",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT 145",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Jurkowski, OTR/L
• Yvonne Jurkowski, RDN, LDN
• Janice M Jurkus, OD
• Alicia J Juska, PHARMD, BCPS
• Irene Juson
• Just a Mile Away Mental Health Services Inc.
• Just a Mile Away Mental Health Services Inc.
• Just a Mile Away Mental Health Services Inc.
• Just a Mile Away Mental Health Transportation Services LLC
• Just for U

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.