Journey to Change Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY TO CHANGE COUNSELING LLC

Practice address

311 Walnut St
Yankton, SD 57078-4360

Phone

(605) 665-8529

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Kay Healy, LCSW-PIPNPI 1851372593

Title

Member

Phone

(605) 618-5296

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kay Healy, LCSW PIP

  • Clinical Social Worker
  • Yankton, SD
  • NPI 1851372593
  Medicare reassignment Authorized official
• Robin Curtiss Grossenburg, DDS

  • General Practice Dentistry
  • Yankton, SD
  • NPI 1144334194
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1093287096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LOCUST ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783939",
            "telephone_number": "605-665-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WALNUT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784360",
            "telephone_number": "605-665-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO CHANGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "605-618-5296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Johnson
• Samantha Johnson, BSW
• Sheila Johnson
• Jacklyn Jones, BS
• Jared James Jordan, DPT
• Shona Jussel, RPH
• Deborah Jean Kachena, CSWPLP LCSW
• Mary Beth Kafka, LPC-MH, QMHP
• Rachel Kafka
• Kara Kaiser

• Clinical Social Worker in Yankton, SD
• Providers in Yankton, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.