Individual provider Active NPI

Joan M Juhnke, MS

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1760713085
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180002277 Issued in IL
Practice address
2334 W Lawrence Ave
Suite 204
Chicago, IL 60625-1948
Phone
(773) 553-0484
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180002277 IL Primary

Addresses

Primary practice location

2334 W Lawrence Ave
Suite 204
Chicago, IL 60625-1948

Mailing address

2016 1/2 W Greenleaf Ave
#3C
Chicago, IL 60645-3541
Phone (773) 553-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240308003279 MA Practitioner - Mental Health Counselor 6608212923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Titus LMHC LLCGroup PAC ID 1153767652, 3 clinicians

Practice addresses (Care Compare)

500 E Washington St
Unit 47
North Attleboro, MA 02760-6324
Phone (508) 863-4412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180002277ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Titus, LMHC LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

500 E Washington St
Unit 47
North Attleboro, MA 02760
Phone (508) 863-4412

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1760713085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 1/2 W GREENLEAF AVE",
            "address_2": "#3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453541",
            "telephone_number": "773-553-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251948",
            "telephone_number": "773-553-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHNKE",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.