Grateful Journey LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRATEFUL JOURNEY LLC

Practice address

4220 Cypress Park Dr Ste B
Roanoke, VA 24018-8403

Phone

(540) 772-1872

Fax

(540) 772-4830

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Leigh Burroughs, LCSWNPI 1346701158

Title

Owner/Therapist

Phone

(540) 314-6107

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Leigh Burroughs, LCSW

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1346701158
  NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1144987900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 SOUTHWAY DR SW APT 88",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142247",
            "telephone_number": "540-314-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CYPRESS PARK DR STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188403",
            "telephone_number": "540-772-1872",
            "fax_number": "540-772-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "540-314-6107",
        "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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• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.