Inner Journey Mental Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER JOURNEY MENTAL HEALTH

Practice address

17019 N State Highway 5 Ste C1
Sunrise Beach, MO 65079-7034

Phone

(660) 595-1446

NPI assigned

Jun 23, 2025

Organization subpart

No

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

Authorized official

Name

Amber Dawn Johnson, LCSWNPI 1326526542

Title

Owner

Phone

(573) 480-7189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Amber Dawn Johnson, LCSW

  • Clinical Social Worker
  • Sunrise Beach, MO
  • NPI 1326526542
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1124915178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17019 N STATE HIGHWAY 5 STE C1",
            "city": "SUNRISE BEACH",
            "state": "MO",
            "postal_code": "650797034",
            "telephone_number": "573-692-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17019 N STATE HIGHWAY 5 STE C1",
            "city": "SUNRISE BEACH",
            "state": "MO",
            "postal_code": "650797034",
            "telephone_number": "660-595-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER JOURNEY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-480-7189",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Keith Johns, D.C.
• Amber Dawn Johnson, LCSW
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• Clinical Social Worker in Sunrise Beach, MO
• Providers in Sunrise Beach, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.