JOURNEY MENTAL HEALTH CENTER, INC. (NPI# 1174720809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174720809 |
Entity Type | Organization |
Organization Name | JOURNEY MENTAL HEALTH CENTER, INC. |
Practice Address |
2000 Fordem Ave Madison WI 53704-4600 |
Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
Practice Telephone | 6082802700 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2016-08-05 |
Authorized Official Name | KAREN NEITZEL (ASSOCIATE DIRECTOR OF BUSINESS DEVE) |
Authorized Official Telephone | 6082802695 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 43424900 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497207054 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 322 Dewitt St, Portage, WI 53901-2114 | 2016-10-31 |
1629275359 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 702 W Main St, Madison, WI 53715-1424 | 2007-06-27 |
1063619799 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 802 E Gorham St, Madison, WI 53703-1524 | 2007-06-27 |
1093911257 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2007-06-25 |
1841413879 | Journey Mental Health Center, Inc. | Case Management | 49 Kessel Ct, Suite 49, Madison, WI 53711-6275 | 2007-04-10 |
Street Address |
2000 FORDEM AVE |
City | MADISON |
State | WI |
Zip Code | 53704-4600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659588713 | Mary-jo Olsen | Social Worker | 2000 Fordem Ave, Madison, WI 53704-4600 | 2007-05-17 |
1598362543 | Katelynn Joy Andrews | Case Manager/Care Coordinator | 2000 Fordem Ave, Madison, WI 53704-4600 | 2020-10-02 |
1578174694 | Cooper B Simpson | Social Worker | 2000 Fordem Ave, Madison, WI 53704-4600 | 2020-08-12 |
1982221933 | Nicholas E Ballweg | Case Manager/Care Coordinator | 2000 Fordem Ave, Madison, WI 53704-4600 | 2020-06-25 |
1376182998 | Emily Alice Prissel | Registered Nurse | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-12-30 |
1376187195 | Mollie Kallas | Case Manager/Care Coordinator | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-11-05 |
1891344206 | Yilin Wang | Specialist | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-09-09 |
1033767306 | Melanie Paige Mason | Case Manager/Care Coordinator | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-08-29 |
1821645631 | Eva Marie Hyndiuk | Case Manager/Care Coordinator | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-08-26 |
1225684525 | Alex Lamontagne | Registered Nurse | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-08-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
Find all providers in zip 53704 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1871141366 | Boone Memorial Hospital, Inc. | Community/Behavioral Health | 467 Main St Ste 4, Madison, WV 25130-2200 | 2019-08-28 |
1154838399 | Leslie Smith Lpc LLC | Community/Behavioral Health | 650 Sun Temple Dr, Madison, AL 35758-8621 | 2018-01-09 |
1497268817 | Imagine A Childs Capacity LLC | Community/Behavioral Health | 128 E Olin Ave Ste 201, Madison, WI 53713-1467 | 2017-11-07 |
1316464191 | Shore Wellness Ct | Community/Behavioral Health | 85b Wall St, Madison, CT 06443-3121 | 2017-08-23 |
1407302532 | Aba Steps LLC | Community/Behavioral Health | 3 Niles Ave, Madison, NJ 07940-2310 | 2016-08-29 |
1245786680 | Michelle Ayres, Ms, Lmft | Community/Behavioral Health | 111 S 1st St # 103, Madison, WI 53704-5244 | 2016-08-26 |
1124471412 | Lifeworks Counseling | Community/Behavioral Health | 940 Ebenezer Blvd., Madison, MS 39110 | 2016-07-21 |
1184078628 | Bridgeway Counseling | Community/Behavioral Health | 540 Hughes Rd Ste 3, Madison, AL 35758-8959 | 2016-04-21 |
1588022206 | Moore Counseling Services | Community/Behavioral Health | 808 Nw 3rd St, Madison, SD 57042-2518 | 2016-02-09 |
1073988051 | Killebrew Psychological Services, LLC | Community/Behavioral Health | 133 Berry Ln, Madison, MS 39110-8616 | 2015-12-02 |
Find all providers in MADISON |
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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.