Organization Active NPI

Journey Counseling Services LLC

  • Community/Behavioral Health Agency
  • North Liberty, IA
National Provider Identifier
1013276542
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001295 Issued in IA
Legal business name
JOURNEY COUNSELING SERVICES LLC
Practice address
555 W Cherry St Ste 3
North Liberty, IA 52317-9800
Phone
(319) 541-7253
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Holly Smigel, LMHCNPI 1720379183
Title
Owner/Director
Phone
(319) 541-7253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001295 IA Primary

Addresses

Primary practice location

555 W Cherry St Ste 3
North Liberty, IA 52317-9800

Mailing address

1835 Carroll CT
North Liberty, IA 52317-8637
Phone (319) 541-7253

Other practice location 1

2707 Dubuque St NE
North Liberty, IA 52317-9381
Phone (319) 541-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604001818 IA Part B Supplier - Clinic/Group Practice 8729520986 Receives reassigned benefits from 2 practitioners
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

1290 W Forevergreen Rd
North Liberty, IA 52317

2707 Dubuque St NE
North Liberty, IA 52317
Phone (319) 541-7253

555 W Cherry St
Ste 3
North Liberty, IA 52317
Phone (319) 541-7253

Practitioners & affiliated clinicians

Practitioners 6

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": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1013276542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CARROLL CT",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178637",
            "telephone_number": "319-541-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CHERRY ST STE 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179800",
            "telephone_number": "319-541-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Dubuque St NE",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179381",
            "country_code": "US",
            "telephone_number": "319-541-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SMIGEL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "319-541-7253",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "001295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.