MRS. AUDREY BETH JUNG (NPI# 1902885163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902885163 |
| Entity Type | Individual |
| Full Name | MRS. AUDREY BETH JUNG |
| Credential | LPC, NCC, FAPA |
| Practice Address |
90 S Kyrene Rd Suite 4 Chandler AZ 85226-4687 |
| Practice Telephone | 4807756423 |
| Practice Fax Number | 4807756425 |
| Mailing Telephone | 4807756423 |
| Mailing Fax Number | 4807756425 |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC1691 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPPES | 1861892689 | 01 |
| Street Address |
90 S KYRENE RD SUITE 4 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85226-4687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073971073 | Chris Meshula LLC | Community/Behavioral Health | 90 S Kyrene Rd, Ste 4, Chandler, AZ 85226-4687 | 2016-02-04 |
| 1811370844 | Christopher M Meshula | Counselor | 90 S Kyrene Rd, Suite 4, Chandler, AZ 85226 | 2015-07-08 |
| 1861892689 | Jung Psych Services LLC | Counselor | 90 S Kyrene Rd, Suite 4, Chandler, AZ 85226-4687 | 2014-08-28 |
| 1659382489 | David Prince | Psychologist | 90 S Kyrene Rd, Suite 4, Chandler, AZ 85226-4687 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594076 | Diplomat Specialty Pharmacy of Phoenix, LLC | Durable Medical Equipment & Medical Supplies | 485 N Juniper Dr, Chandler, AZ 85226 | 2018-07-02 |
| 1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
| 1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
| 1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
| 1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
| 1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
| 1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
| 1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
| 1831406388 | Chanda Lise Gonzales | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 | 2010-09-04 |
| 1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
| Find all providers in zip 85226 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517309 | Gregory Clopton | Counselor | 12223 E Cloud Rd, Chandler, AZ 85249-3424 | 2020-10-27 |
| 1528667953 | George Olorunfemi Adeola Olusa | Counselor | 5651 S Mesquite Grove Way, Chandler, AZ 85249-9670 | 2020-10-17 |
| 1104463421 | Lashon Tyrice Stewart | Counselor | 1175 W Pecos Rd Apt 1024, Chandler, AZ 85224-5265 | 2019-12-05 |
| 1194376913 | Krista M Zabor | Counselor | 5963 W Gail Dr, Chandler, AZ 85226-1235 | 2019-09-23 |
| 1811469570 | Carol Lynne Farmer | Counselor | 1622 W Armstrong Way, Chandler, AZ 85286-8400 | 2018-12-19 |
| 1275008054 | Amanda Jean Halamka | Counselor | 813 W Elliot Rd Ste 12, Chandler, AZ 85225-1887 | 2018-10-09 |
| 1649793464 | Michele Leigh Anne Mulcahy | Counselor | 11332 E Chestnut Dr, Chandler, AZ 85249-4294 | 2017-07-24 |
| 1174947709 | Michael Moriarty | Counselor | 335 N Alma School Rd Ste E, Chandler, AZ 85224-4363 | 2014-02-18 |
| 1487888954 | Joy Health Care Inc | Counselor | 4482 E. County Down Dr, Chandler, AZ 85249-7334 | 2009-05-12 |
| 1285823377 | Lifeline Professional Counseling Services, Inc | Counselor | 335 N. Alma School Rd, Ste E, Chandler, AZ 85224 | 2007-10-15 |
| Find all providers in CHANDLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.