Organization Active NPI

Forward Journey PLLC

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1104378975
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FORWARD JOURNEY PLLC
Practice address
205 E Davis St
Burlington, NC 27215-5987
Phone
(919) 633-7640
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Jonathan Wilkins, LCMHC
Title
Ceo
Phone
(919) 633-7640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

205 E Davis St
Burlington, NC 27215-5987

Mailing address

118 Colson Drive
Garner, NC 27529-5996
Phone (919) 633-7640

Other practice location 1

115 E Main St
Williamston, SC 29697-1926
Phone (919) 633-7640

Other practice location 2

219 N Main St
Troy, NC 27371-3015
Phone (919) 633-7640

National Provider Directory

National Provider Directory

Locations

219 N Main St
Troy, NC 27371
Phone (704) 272-7068

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1104378975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLSON DRIVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295996",
            "telephone_number": "919-633-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E DAVIS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155987",
            "telephone_number": "919-633-7640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Main St",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "SC",
            "postal_code": "296971926",
            "country_code": "US",
            "telephone_number": "919-633-7640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 N Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273713015",
            "country_code": "US",
            "telephone_number": "919-633-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORWARD JOURNEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-633-7640",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.