Audrey Beth Jung, LPC, NCC, FAPA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC1691 Issued in AZ

Practice address

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

Phone

(480) 775-6423

Fax

(480) 775-6425

NPI assigned

Jan 15, 2006

Last updated

Dec 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 4, 2024 through Apr 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Jung Psych Services LLC

  • Mental Health Counselor
  • Chandler, AZ
  • NPI 1861892689
  Authorized official Same address or phone

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1902885163",
    "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": {
        "last_name": "JUNG",
        "first_name": "AUDREY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, FAPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1861892689",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Solomon, MD
• Julie Peters Wound Practitioner, LLC
• John P Julius, DO
• Andrea R. Jullette, NURSE PRACTITIONER
• Jung Psych Services LLC
• Kionglee Jung, FNP/PMHNP
• Taylor Ann Junggren, NP
• Olivia Ann Jurkovich
• Kathia Yari Jusino Suarez, PA
• Jussamal Manor (0)

• Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.