NPIMap

Organization Active NPI

Journey Well, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mason, OH
National Provider Identifier
1134577349
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
E.1100183-SUPV Issued in OH
Legal business name
JOURNEY WELL, LLC
Practice address
5720 Gateway Blvd #204
Mason, OH 45040-1891
Phone
(513) 445-9959
Fax
(513) 725-1276
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Sharon Anchak, MA, LPCC-S, LSWNPI 1598958217
Title
Owner
Phone
(513) 445-9959

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X E.1100183-SUPV OH Primary

Addresses

Primary practice location

5720 Gateway Blvd #204
Mason, OH 45040-1891

Mailing address

5720 Gateway Blvd #204
Mason, OH 45040-1891
Phone (513) 445-9959

Other identifiers 1

IdentifierTypeStateIssuer
0345155MedicaidOH

National Provider Directory

National Provider Directory

Locations

5720 Gateway
Ste 204
Mason, OH 45040
Phone (513) 445-9959

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1134577349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY BLVD #204",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-445-9959",
            "fax_number": "513-725-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY BLVD #204",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-445-9959",
            "fax_number": "513-725-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ANCHAK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-445-9959",
        "authorized_official_credential": "MA, LPCC-S, LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "E.1100183-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.