Organization Active NPI

Journey to Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1205644580
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.