Organization Active NPI

Journey Inward Counseling LLC

  • Marriage & Family Therapist
  • Boulder, CO
National Provider Identifier
1225619497
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JOURNEY INWARD COUNSELING LLC
Practice address
4790 Table Mesa Dr Ste 202
Boulder, CO 80305-5660
Phone
(720) 263-0334
NPI assigned
Apr 19, 2021
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Sarah Carlson, LMFTNPI 1720264732
Title
Owner, Manager
Phone
(720) 263-0334

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4790 Table Mesa Dr Ste 202
Boulder, CO 80305-5660

Mailing address

4790 Table Mesa Dr Ste 202
Boulder, CO 80305-5660
Phone (720) 263-0334

Other identifiers 1

IdentifierTypeStateIssuer
9000203942MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scarlson@journeyinwardcounseling.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620002344 CO Part B Supplier - Clinic/Group Practice 2860904349 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory
Tax ID family
Main Office3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1225619497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 TABLE MESA DR STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055660",
            "telephone_number": "720-263-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 TABLE MESA DR STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055660",
            "telephone_number": "720-263-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY INWARD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "720-263-0334",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000203942",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scarlson@journeyinwardcounseling.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "non PHI",
            "address_1": "4790 Table Mesa Dr Ste 202",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803055660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.