NPIMap

Organization Active NPI

Jung Psych Services LLC

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1861892689
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1691 Issued in AZ
Legal business name
JUNG PSYCH SERVICES LLC
Practice address
90 S Kyrene Rd
Suite 4
Chandler, AZ 85226-4687
Phone
(480) 775-6423
Fax
(480) 775-6425
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mrs. Audrey Beth Jung, LPC, FAPANPI 1902885163
Title
Owner
Phone
(480) 775-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC1691 AZ Primary

Addresses

Primary practice location

90 S Kyrene Rd
Suite 4
Chandler, AZ 85226-4687

Mailing address

90 S Kyrene Rd
Suite 4
Chandler, AZ 85226-4687
Phone (480) 775-6423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1861892689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD",
            "address_2": "SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264687",
            "telephone_number": "480-775-6423",
            "fax_number": "480-775-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD",
            "address_2": "SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264687",
            "telephone_number": "480-775-6423",
            "fax_number": "480-775-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG PSYCH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-775-6423",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, FAPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.