Active NPI
Journey House International Center LLC
- Mental Health Counselor
- Kenosha, WI
National Provider Identifier
1053009449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorice Jean, LPC, CSAC, ICS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.