NPIMap

Organization Active NPI

Journey 4 Self LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sidney, OH
National Provider Identifier
1215796933
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOURNEY 4 SELF LLC
Practice address
121 E North St
Sidney, OH 45365-2709
Phone
(937) 902-2183
Fax
(937) 902-2183
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mary Jean CarpenterNPI 1750881660
Title
Owner
Phone
(937) 902-2183

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 Primary

Addresses

Primary practice location

121 E North St
Sidney, OH 45365-2709

Mailing address

2338 Aldrin Dr
Sidney, OH 45365-1510
Phone (937) 902-2183

National Provider Directory

National Provider Directory
Tax ID family
Journey 4 Self LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 E North St
Ste 206
Sidney, OH 45365

121 E North St
Sidney, OH 45365
Phone (937) 902-2183

1385 Stonycreek Rd
Troy, OH 45373
Phone (937) 742-7516

Practitioners & affiliated clinicians

Practitioners 4

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": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1215796933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 ALDRIN DR",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651510",
            "telephone_number": "937-902-2183",
            "fax_number": "937-902-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E NORTH ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652709",
            "telephone_number": "937-902-2183",
            "fax_number": "937-902-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY 4 SELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MARY JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-902-2183"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.