Journey to Success LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JOURNEY TO SUCCESS LLC

Practice address

61 Arrow Rd Ste 103
Wethersfield, CT 06109-1301

Phone

(959) 245-4516

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Reva Mingo, LPC, LADCNPI 1528659570

Title

Licensed Professional Counselor

Phone

(959) 245-4516

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Reva Mingo, LPC, LADC

  • Professional Counselor
  • Wethersfield, CT
  • NPI 1528659570
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1124609987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ARROW RD STE 103",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ARROW RD STE 103",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091301",
            "telephone_number": "959-245-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "REVA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "959-245-4516",
        "authorized_official_credential": "LPC, LADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Norma Jewett, AUD
• Ankur P Jhaveri, DMD
• Lauren Ashley Johnson, M.A. CCC-SLP
• Alyssa Johnston, LCSW
• Josephine Contrino MD, LLC
• Renee Dawn Kane
• Michael Gatobu Karani
• Mohan Kasaraneni, M.D.
• Stephanie L. Katz, D.M.D.
• Diane B Keckley, PA

• Professional Counselor in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.