Active NPI
Journey to Wellness LLC
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1205644580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- JOURNEY TO WELLNESS LLC
- Practice address
- 1240 W Owens Ave Ste 1
Las Vegas, NV 89106-2452 - Phone
- (702) 527-0660
- NPI assigned
- Dec 19, 2024
- Organization subpart
- Yes
- Parent organization
- JOURNEY TO WELLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shamese Latrice Williams
- Title
- Owner
- Phone
- (702) 527-0660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1240 W Owens Ave Ste 1
Las Vegas, NV 89106-2452
Mailing address
920 Bridgewater St Apt C
Las Vegas, NV 89110-5758
Phone (702) 527-0660
Other names 1
- JOURNEY RECOVERY CENTER
National Provider Directory
National Provider DirectoryOwnership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1942924022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1205644580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 BRIDGEWATER ST APT C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891105758",
"telephone_number": "702-527-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 W OWENS AVE STE 1",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062452",
"telephone_number": "702-527-0660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY TO WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOURNEY TO WELLNESS LLC",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SHAMESE",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-527-0660"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JOURNEY RECOVERY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.