JOURNEYMAKERS LLC (NPI# 1780242818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780242818 |
Entity Type | Organization |
Organization Name | JOURNEYMAKERS LLC |
Practice Address |
501 W Bristol St Elkhart IN 46514-2964 |
Practice Telephone | 5745844571 |
Enumeration Date | 2019-06-04 |
Last Update Date | 2019-06-04 |
Authorized Official Name | CAROLYNE S ANDERSOHN (OWNER) |
Authorized Official Telephone | 5745844571 |
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 |
---|---|---|---|
LICENSE | 3901564A | 01 |
Street Address |
501 W BRISTOL ST |
City | ELKHART |
State | IN |
Zip Code | 46514-2964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609880574 | Richard Daniel Koch | Social Worker | 501 W Bristol St, Elkhart, IN 46514-2964 | 2006-07-28 |
1720274715 | Carolyne S Andersohn | Counselor | 501 W Bristol St, Elkhart, IN 46514-2964 | 2007-09-24 |
1477751618 | Richard Koch Counseling Services | Community/Behavioral Health | 501 W Bristol St, Elkhart, IN 46514-2964 | 2007-07-10 |
1336233824 | Constance S. Stamper, Msw, Inc. | Social Worker | 501 W Bristol St, Elkhart, IN 46514-2964 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
Find all providers in zip 46514 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316413248 | Angela Patricia Garcia | Counselor | 22791 Juneberry Ct, Elkhart, IN 46514-9152 | 2018-10-18 |
1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
1992035208 | Sara Sage | Counselor | 1715 E Bristol St, Elkhart, IN 46514-3968 | 2010-01-08 |
1558481788 | Kelli Louise Taylor | Counselor | 39 Taches Dr, Elkhart, TX 75839-9518 | 2007-03-30 |
1881603728 | Lenora Jean Carl | Counselor | 2801 E Bristol St, Suite B, Elkhart, IN 46514-4300 | 2006-08-07 |
1063445336 | Geneele Crump-campagnoli | Counselor | 59216 Merrimac Ln, Elkhart, IN 46517-3415 | 2006-07-09 |
1285231076 | Clayton Zollinger | Counselor | 3120 Windsor Ct, Elkhart, IN 46514-5556 | 2020-10-05 |
1043822034 | Charmagne Alee Lafortune | Counselor | 3120 Windsor Ct Ste B, Elkhart, IN 46514-5556 | 2020-08-20 |
1184245466 | Michelle Thomas, Lcsw, LLC | Counselor | 1750 Kilbourn St, Elkhart, IN 46514-1920 | 2020-04-28 |
1417465691 | Remus Webb | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2018-01-22 |
Find all providers in ELKHART |
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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.