JOURNEY TO HEALING (NPI# 1689287815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689287815 |
| Entity Type | Organization |
| Organization Name | JOURNEY TO HEALING |
| Practice Address |
66 Colorado St Highland Park MI 48203-3302 |
| Practice Telephone | 3134154772 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | SHARDAYA FUQUAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3134154772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JOURNEY TO HEALING FOUNDATION | Po Box 62, ASHLAND OR |
| Oklahoma Business Registrations | JOURNEY TO HEALING FOUNDATION | Rt 1 Box 33, Mead, OK 73449 |
| Indiana Business Entities | JOURNEY TO HEALING, LLC | 5611 Birdie Dr, Wheatfield, IN 46392 |
| Street Address |
66 COLORADO ST |
| City | HIGHLAND PARK |
| State | MI |
| Zip Code | 48203-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| 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 |
|---|---|---|---|---|
| 1427675917 | Jennifer Kaplan | Social Worker | 260 Briar Ln, Highland Park, IL 60035-4308 | 2020-06-30 |
| 1801410329 | Kere Loughlin-presnal | Social Worker | 106 S Adelaide Ave Apt 1c, Highland Park, NJ 08904-1626 | 2020-06-01 |
| 1437771359 | Rachel Beth Califf | Social Worker | 1352 Cavell Ave, Highland Park, IL 60035-2806 | 2020-05-13 |
| 1639703101 | Kiana L Harrison | Social Worker | 133 Massachusetts St, Highland Park, MI 48203-3538 | 2020-02-24 |
| 1699329672 | Susan Cohen | Social Worker | 930 Pleasant Ave, Highland Park, IL 60035-4616 | 2019-07-29 |
| 1902365075 | Aryn Rose | Social Worker | 1280 Old Skokie Rd, Highland Park, IL 60035-3028 | 2019-03-18 |
| 1285193995 | Marci Ellen Balonick | Social Worker | 2929 Priscilla Ave, Highland Park, IL 60035-1363 | 2019-03-13 |
| 1588137087 | Sally Kate Peterson | Social Worker | 867 Auburn Ct, Highland Park, IL 60035-1123 | 2019-01-07 |
| 1003393059 | Eleanor Peterson | Social Worker | 227 Benner St, Highland Park, NJ 08904-2240 | 2018-07-23 |
| 1841790052 | Btc Counseling, LLC | Social Worker | 320 Raritan Ave Ste 303a, Highland Park, NJ 08904-2752 | 2018-02-14 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 48203 |
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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.