Active NPI
Joan M Juhnke, MS
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1760713085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180002277
- Practice address
- 2334 W Lawrence Ave
Suite 204
Chicago, IL 60625-1948 - Phone
- (773) 553-0484
- NPI assigned
- Jan 26, 2010
- Last updated
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180002277 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Titus, LMHC LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.