NPIMap

Organization Active NPI

Courageous Journey, PLLC

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1003250408
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00939896 Issued in WV
Legal business name
COURAGEOUS JOURNEY, PLLC
Practice address
1664 Winchester Ave
Ste B
Martinsburg, WV 25405-3881
Phone
(304) 901-4347
Fax
(888) 596-2658
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica R Cogle, LICSW
Title
Owner/Operator
Phone
(304) 901-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X DP00939896 WV Primary

Addresses

Primary practice location

1664 Winchester Ave
Ste B
Martinsburg, WV 25405-3881

Mailing address

1664 Winchester Ave
Ste B
Martinsburg, WV 25405-3881
Phone (304) 901-4347

National Provider Directory

National Provider Directory

Locations

1664 Winchester Ave
Ste B
Martinsburg, WV 25405
Phone (304) 901-4347

630 Winchester Ave
Martinsburg, WV 25401
Phone (304) 676-3737

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1003250408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 WINCHESTER AVE",
            "address_2": "STE B",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254053881",
            "telephone_number": "304-901-4347",
            "fax_number": "888-596-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 WINCHESTER AVE",
            "address_2": "STE B",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254053881",
            "telephone_number": "304-901-4347",
            "fax_number": "888-596-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS JOURNEY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "COGLE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "304-901-4347",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00939896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.