Journey Well Therapy and Coaching PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JOURNEY WELL THERAPY AND COACHING PLLC

Practice address

408 11TH Avenue
Fulton, IL 61252

Phone

(563) 321-7650

NPI assigned

Apr 4, 2020

Last updated

Oct 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Devin Dierks, LCSWNPI 1083148761

Title

Owner and Therapist

Phone

(563) 321-7650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devin Dierks, LCSW

  • Clinical Social Worker
  • Fulton, IL
  • NPI 1083148761
  NPD Authorized official

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792195200000",
    "number": "1043849755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "612520024",
            "telephone_number": "563-321-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 11TH AVENUE",
            "city": "FULTON",
            "state": "IL",
            "postal_code": "61252",
            "telephone_number": "563-321-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY WELL THERAPY AND COACHING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2026-10-17",
        "certification_date": "2026-10-17",
        "status": "A",
        "authorized_official_last_name": "DIERKS",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "563-321-7650",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton Fire Protection District
• Edvard LC Gerega, DC
• Harbor Crest Home Inc
• Stephen D Harrison, M.D.
• Stephanie G Holesinger, ARNP
• Tom M Kao, D.C., APN
• Scott Kunau, D.D.S.
• Medical Associates of Clinton, Iowa, P.L.C. (Fulton Family Health Clinic)
• Mercy Specialty Clinic (MercyOne Fulton Family Medicine)
• Midwest Vision Clinic PLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fulton, IL
• Providers in Fulton, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; 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.