THE JOURNEY (NPI# 1730581075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730581075 |
| Entity Type | Organization |
| Organization Name | THE JOURNEY |
| Other Organization Name | THE JOURNEY |
| Practice Address |
619 N 500 W Provo UT 84601-1547 |
| Practice Telephone | 4354599222 |
| Mailing Telephone | 4354599222 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | MRS. MADOLYN LIEBING (OWNER) |
| Authorized Official Telephone | 4354599222 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 114581-2501 | UT | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Journey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245558378 | The Journey | Foster Care Agency | 619 N 500 W, Provo, UT 84601-1547 | 2010-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE JOURNEY ABOUNDS L.L.C. | 5603 219th Pl Sw, Mountlake Terrace, WA 98043 |
| Colorado Business Entities | The Journey Advent Ministries | 13901 Jasmine Street, Thornton, CO 80602 |
| Colorado Business Entities | THE JOURNEY BEGINS MUSIC AND MOVIE WORKS, INC | 14700 E Kentucky Dr. Ste 537, Aurora, CO 80012 |
| Colorado Business Entities | The Journey Brain Injury Community Services, LLC. | 9423 W 64th Ave, Arvada, CO 80004 |
| Oregon Corporations, Companies and Business Names | THE JOURNEY CHURCH | 2399 S Pacific Hwy, Medford, OR 97501 |
| Washington State Corporations | THE JOURNEY CHURCH | 20419 Se 287th Pl, Kent, WA 98042 |
| Oregon Corporations, Companies and Business Names | THE JOURNEY CHURCH - DAMASCUS | 19070 Se Sunnyside Rd, Damascus, OR 97089 |
| Washington State Corporations | THE JOURNEY CHURCH YAKIMA | 4220 Nola Lp Rd #b, Yakima, WA 98901 |
| Colorado Business Entities | The Journey Communities, LLC | 11001 W 120th Avenue, Suite 400, Broomfield, CO 80021 |
| Colorado Business Entities | The Journey Community Care Center | 9798 Otis Drive, Westminster, CO 80021 |
| Street Address |
619 N 500 W |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417977505 | Susan R Dyle | Physician Assistant | 619 N 500 W, Provo, UT 84601-1547 | 2006-07-20 |
| 1902430531 | Brighter Path Addiction Medicine | Obstetrics & Gynecology | 619 N 500 W, Provo, UT 84601-1547 | 2020-02-21 |
| 1598267122 | Utah Addiction Medicine | Family Medicine | 619 N 500 W, Provo, UT 84601-1547 | 2018-02-28 |
| 1306387105 | Brenton Lisonbee | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2017-03-13 |
| 1114469921 | Janessa Rasmussen | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1750823563 | Camille Brown | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1922540731 | Keiyana Osmond | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1003358813 | Haley Allmendinger | Community Health Worker | 619 N 500 W, Provo, UT 84601-1547 | 2016-11-09 |
| 1740648898 | Alexis Zimmerman | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2016-02-04 |
| 1245697978 | Carlos Ensaldo | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033742887 | Vaughn E Worthen | Psychologist | 1545 Wsc, Provo, UT 84602-7924 | 2020-02-20 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1023263191 | Professional Clinical Management | Psychologist | 1355 N University Ave Ste 200, Provo, UT 84604-2721 | 2008-11-17 |
| 1528191046 | Steven Arthur Smith | Psychologist | 1559 W 1050 N, Provo, UT 84604-3024 | 2007-03-13 |
| 1255349627 | Robert L. Gleave | Psychologist | Byu - 1500 Wsc, Provo, UT 84602-7906 | 2006-08-03 |
| 1710907795 | Monroe White | Psychologist | 215 W 100 N, Provo, UT 84601-4433 | 2006-07-20 |
| 1548239478 | Edward Alphonse Parent | Psychologist | 3707 N Canyon Rd, Suite 2a, Provo, UT 84604-4592 | 2006-03-14 |
| 1215552179 | Justin Brent Top | Psychologist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-06-16 |
| 1538710207 | Benjamin Roos | Psychologist | 1300 E Center St, Provo, UT 84606-3554 | 2019-09-24 |
| 1831756360 | New Beginnings Counseling Group | Psychologist | 1881 N 1120 W, Provo, UT 84604-1180 | 2019-05-20 |
| Find all providers in PROVO | ||||
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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.