Organization Active NPI

Journey to Restoration, LLC

  • Professional Counselor
  • Riverdale, GA
National Provider Identifier
1023716206
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOURNEY TO RESTORATION, LLC
Practice address
1244 Highway 138 SW Ste 1086
Riverdale, GA 30296-1402
Phone
(678) 750-3854
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Tiffany Scott, LPCNPI 1972110674
Title
LPC
Phone
(856) 417-4472

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1244 Highway 138 SW Ste 1086
Riverdale, GA 30296-1402

Mailing address

9071 Jimmy Lee Cir
Jonesboro, GA 30238-7009
Phone (856) 417-4472

National Provider Directory

National Provider Directory

Locations

1244 Highway 138 SW
Ste 1086
Riverdale, GA 30296
Phone (678) 750-3854

Practitioners & affiliated clinicians

Practitioners 1

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1023716206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 JIMMY LEE CIR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302387009",
            "telephone_number": "856-417-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 HIGHWAY 138 SW STE 1086",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961402",
            "telephone_number": "678-750-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "856-417-4472",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.