JOURNEYS COUNSELING ASSOC INC (NPI# 1629136973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629136973 |
Entity Type | Organization |
Organization Name | JOURNEYS COUNSELING ASSOC INC |
Practice Address |
1405 N Main St Princeton IL 61356 |
Mailing Address |
Po Box 0361 Clinton IA 52733-0361 |
Practice Telephone | 8158722100 |
Practice Fax Number | 5632423128 |
Mailing Telephone | 5632425316 |
Mailing Fax Number | 5632423128 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-11-29 |
Authorized Official Name | KENNETH K OSBORNE (PRESIDENT COUNSELOR) |
Authorized Official Telephone | 8158722100 |
Authorized Official Credential | LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BC BS | 00623783 | 01 |
Street Address |
1405 N MAIN ST |
City | PRINCETON |
State | IL |
Zip Code | 61356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073593414 | Nancy A Carper | Counselor | 1405 N Main St, Princeton, IL 61356-9771 | 2006-01-20 |
1801985759 | Mark Horwitz | Counselor | 1405 N Main St, Princeton, IL 61356-9771 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
Find all providers in zip 61356 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746254 | April Music | Counselor | 214 Island Way, Princeton, TX 75407-5486 | 2020-10-04 |
1720694797 | Smita Chopra | Counselor | 932 State Rd, Princeton, Nj 08540, Princeton, NJ 08540-0854 | 2020-09-16 |
1952928012 | Alice Fadiora | Counselor | 261 Washington Rd, Princeton, NJ 08540-6407 | 2020-07-06 |
1801412028 | Kaily Marie Moore | Counselor | 1507 Wilderness St, Princeton, TX 75407-0675 | 2020-06-23 |
1376180679 | Pretgraf | Counselor | 103 Carnegie Ctr Ste 104, Princeton, NJ 08540-6235 | 2019-12-05 |
1215596440 | Karla Carey | Counselor | 400 S 2nd St Ste 125, Princeton, MN 55371-1878 | 2019-06-11 |
1093275893 | Siobhan Strickhart | Counselor | 213 Commons Way, Princeton, NJ 08540-1508 | 2019-03-20 |
1235614629 | Erica Tate | Counselor | 500 Brant Dr, Princeton, LA 71067-9332 | 2018-10-01 |
1821500422 | Jennifer Marshall | Counselor | 245 Nassau St Unit C, Princeton, NJ 08540-4600 | 2017-11-04 |
1376053009 | Julia Ann Gollas | Counselor | 103 Carnegie Ctr Ste 258, Princeton, NJ 08540-6235 | 2017-10-09 |
Find all providers in PRINCETON |
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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.