NPIMap

Organization Active NPI

Journey Forward, LLC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1033425293
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4679 Issued in SC
Legal business name
JOURNEY FORWARD, LLC
Practice address
2611 Forest Dr
Suite 129
Columbia, SC 29204-2379
Phone
(803) 251-0104
Fax
(866) 344-1607
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Ms. Wanda Nunn, LPCNPI 1730201815
Title
Ceo/Therapist
Phone
(803) 251-0104

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 4679 SC Primary

Addresses

Primary practice location

2611 Forest Dr
Suite 129
Columbia, SC 29204-2379

Mailing address

2611 Forest Dr
Suite 129
Columbia, SC 29204-2379
Phone (803) 251-0104

National Provider Directory

National Provider Directory
Tax ID family
Journey Forward2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2611 Forest Dr
Ste 129
Columbia, SC 29204
Phone (803) 251-0104

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": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1033425293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR",
            "address_2": "SUITE 129",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042379",
            "telephone_number": "803-251-0104",
            "fax_number": "866-344-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR",
            "address_2": "SUITE 129",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042379",
            "telephone_number": "803-251-0104",
            "fax_number": "866-344-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY FORWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "803-251-0104",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.