A Beautiful Journey, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4691125 Issued in WI

Legal business name

A BEAUTIFUL JOURNEY, LLC

Practice address

W6188 Everglade Rd
Greenville, WI 54942-8590

Phone

(920) 268-3242

NPI assigned

Jun 21, 2014

Organization subpart

No

Name

Jacqueline Anderson, LPCNPI 1851520407

Title

Owner/Professional Counselor

Phone

(920) 268-3242

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marie Anderson, MAC

  • Counselor
  • Greenville, WI
  • NPI 1851520407
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1003221789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6188 EVERGLADE RD",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428590",
            "telephone_number": "920-268-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6188 EVERGLADE RD",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549428590",
            "telephone_number": "920-268-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTIFUL JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "920-268-3242",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4691125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Abboud, D.P.M.
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• Darya A Alexander, MD
• Sally Andersen, FNP-BC, APNP
• Jacqueline Marie Anderson, MAC

• All providers in Greenville, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.