Organization Active NPI

Journey House International Center LLC

  • Mental Health Counselor
  • Kenosha, WI
National Provider Identifier
1053009449
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JOURNEY HOUSE INTERNATIONAL CENTER LLC
Practice address
8032 22ND Ave # 5151
Kenosha, WI 53143-6208
Phone
(262) 289-4378
Fax
(262) 288-4353
NPI assigned
Apr 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Lorice Jean, LPC, CSAC, ICSNPI 1992147870
Title
Mental Health Therapist
Phone
(262) 822-6847

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8032 22ND Ave # 5151
Kenosha, WI 53143-6208

Mailing address

8032 22ND Ave # 5151
Kenosha, WI 53143-6208
Phone (262) 289-4378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708003371 GA Part B Supplier - Clinic/Group Practice 0547774929 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2488 Lakewood Ave SW
Atlanta, GA 30315
Phone (404) 282-6028

8032 22nd Ave
#5151
Kenosha, WI 53143
Phone (262) 289-4378

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": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1053009449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 22ND AVE # 5151",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436208",
            "telephone_number": "262-289-4378",
            "fax_number": "262-288-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 22ND AVE # 5151",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436208",
            "telephone_number": "262-289-4378",
            "fax_number": "262-288-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HOUSE INTERNATIONAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "LORICE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "262-822-6847",
        "authorized_official_credential": "LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.