JOURNEY TO A TRAUMA-INFORMED LIFE (NPI# 1518522242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518522242 |
| Entity Type | Organization |
| Organization Name | JOURNEY TO A TRAUMA-INFORMED LIFE |
| Practice Address |
2230 W 8th St Ste 2 Erie PA 16505-4545 |
| Practice Telephone | 8146360821 |
| Practice Fax Number | 8143159564 |
| Mailing Telephone | 8143977480 |
| Mailing Fax Number | 8143159564 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | DR. WILLIAM JACKSON KOEHLER (PARTNER) |
| Authorized Official Telephone | 8143977480 |
| Authorized Official Credential | PHD, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2230 W 8th St Ste 2, Erie, PA 165054545 | 8146360821 | 8143159564 |
| Street Address |
2230 W 8TH ST STE 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972138162 | Angela Lynn Darling-eller | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505-4545 | 2020-03-08 |
| 1982241071 | Katie Elizabeth Wood | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505-4545 | 2019-12-08 |
| 1689145328 | Rachel Anysz | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505-4545 | 2018-12-06 |
| 1134503568 | Tyler James Titus | Counselor | 2230 W 8th St Ste 2, Erie, PA 16505-4545 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| 1962691493 | Edward Paul Snyder | Psychologist | 409 Armore Avenue, Erie, PA 16505 | 2007-10-22 |
| Find all providers in zip 16505 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396804 | Erie Family Center | Community/Behavioral Health | 606 Raspberry St, Erie, PA 16502-1123 | 2020-04-28 |
| 1073049862 | Candice Aston | Community/Behavioral Health | 5760 Georgetown Dr, Erie, PA 16509-3139 | 2017-05-11 |
| 1689022055 | Serving People Lovingly Counseling Center, LLC | Community/Behavioral Health | 1001 State St Ste 1400, Erie, PA 16501-1834 | 2016-05-26 |
| 1194094169 | Gannondale | Community/Behavioral Health | 4635 E Lake Rd, Erie, PA 16511-1410 | 2011-12-21 |
| 1720245517 | Stairways Behavioral Health | Community/Behavioral Health | 810 Walnut St, Erie, PA 16502-1371 | 2008-05-20 |
| 1104949320 | Crime Victim Center of Erie County, Inc. | Community/Behavioral Health | 125 W 18th St, Erie, PA 16501-2103 | 2007-04-10 |
| 1255480174 | Perseus House, Inc | Community/Behavioral Health | 1510 State St, Erie, PA 16501-2220 | 2007-01-09 |
| 1205902483 | Greater Erie Community Action Committee | Community/Behavioral Health | 27 W 8th St, Erie, PA 16501-1347 | 2006-11-28 |
| 1376177147 | Sarah A. Reed Children's Center | Community/Behavioral Health | 1611 Peach St, Erie, PA 16501-2109 | 2020-03-02 |
| 1083113799 | Greg Purchase LLC | Community/Behavioral Health | 2221 Peninsula Dr Ste 105, Erie, PA 16506-2954 | 2018-02-08 |
| Find all providers in ERIE | ||||
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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.