NPIMap

Organization Active NPI

Journey 2 Greatness

  • Preferred Provider Organization
  • Smyrna, GA
National Provider Identifier
1093191389
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
LPC007831 Issued in GA
Legal business name
JOURNEY 2 GREATNESS
Practice address
4015 South Cobb Drive
Smyrna, GA 30080
Phone
(678) 744-6965
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Shenithia ArnoldNPI 1609270198
Title
Licensed Professional Counselore
Phone
(678) 744-6965

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
Preferred Provider Organization 305R00000X LPC007831 GA Primary

Addresses

Primary practice location

4015 South Cobb Drive
Smyrna, GA 30080

Mailing address

8275 Eastshore Dr
Union, GA 30291

National Provider Directory

National Provider Directory
Tax ID family
Journey 2 Greatness2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1093191389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 EASTSHORE DR",
            "city": "UNION",
            "state": "GA",
            "postal_code": "30291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 SOUTH COBB DRIVE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "678-744-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY 2 GREATNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "SHENITHIA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELORE",
        "authorized_official_telephone_number": "678-744-6965"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "LPC007831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.