IT'S YOUR JOURNEY COUNSELING PLLC (NPI# 1669072526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669072526 |
| Entity Type | Organization |
| Organization Name | IT'S YOUR JOURNEY COUNSELING PLLC |
| Practice Address |
418 Broadway St South Haven MI 49090-1421 |
| Practice Telephone | 2693298708 |
| Mailing Telephone | 2693298708 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-31 |
| Authorized Official Name | KELLIE HAKKEN (OWNER) |
| Authorized Official Telephone | 2693298708 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
418 BROADWAY ST |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841633518 | Christine Nicole Taylor | Chiropractor | 418 Broadway St, South Haven, MI 49090-1421 | 2013-04-12 |
| 1962907600 | Beyond The Spine Chiropractic & Massage Pllc | Chiropractor | 418 Broadway St, South Haven, MI 49090-1421 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1063968824 | Dawn Conroy | Social Worker | 05055 Blue Star Memorial Hwy, South Haven, MI 49090-7135 | 2016-08-31 |
| 1174870844 | Jenny Nicole Jordan-dekam | Social Worker | 965 S Bailey Ave Ste 2-2, South Haven, MI 49090-6743 | 2012-08-13 |
| 1164067492 | Lindsay Bodtke | Social Worker | 1007 Wells St, South Haven, MI 49090-9612 | 2019-11-11 |
| 1093249377 | Success By Strengths LLC | Social Worker | 05055 Blue Star Hwy, South Haven, MI 49090 | 2017-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629886 | Suzanne Mcnees | Social Worker | 7373 Morgan Rd E, Battle Creek, MI 49017-9705 | 2020-11-07 |
| 1366043408 | Azeldri Van Der Wath | Social Worker | 41423 Ambercrest Dr, Sterling Heights, MI 48314-3719 | 2020-11-05 |
| 1972104834 | Anne Elizabeth Rife | Social Worker | 4660 Marsh Rd Ste 27, Okemos, MI 48864-2143 | 2020-11-05 |
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1104427368 | Kizzy Nieves | Social Worker | 52280 Cedar Mill Dr, Macomb, MI 48042-5658 | 2020-11-04 |
| 1225639560 | Ananya Avinash | Social Worker | 235 Olivia Ct Nw, Grand Rapids, MI 49504-5897 | 2020-11-03 |
| 1568062107 | Noor Mateen | Social Worker | 2564 Carpenter Rd, Ann Arbor, MI 48108-1175 | 2020-10-30 |
| 1588264808 | January Haulenbeek | Social Worker | 10093 W P Ave, Kalamazoo, MI 49009-4405 | 2020-10-27 |
| 1508466814 | Betsy Michelle Ulicki | Social Worker | 5787 Ball Ave, Harrison, MI 48625-9385 | 2020-10-27 |
| 1982203485 | Becoming You Therapy Pllc | Social Worker | 2346 Mission Hills Dr Se, Grand Rapids, MI 49546-7804 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
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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.