Organization Active NPI

Journey to My Truth Counseling & Services LLC

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1225626815
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEY TO MY TRUTH COUNSELING & SERVICES LLC
Practice address
123 NW 4TH St Ste 219
Evansville, IN 47708-1709
Phone
(812) 746-1953
NPI assigned
Jan 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Donna D Groves, LCSW
Title
Owner
Phone
(812) 746-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

123 NW 4TH St Ste 219
Evansville, IN 47708-1709

Mailing address

123 NW 4TH St Ste 219
Evansville, IN 47708-1709
Phone (812) 746-1953

Other identifiers 1

IdentifierTypeStateIssuer
34008262AOtherINLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@a1billingandadmin.com Direct

National Provider Directory

National Provider Directory

Locations

123 NW 4th St
Ste 219
Evansville, IN 47708
Phone (812) 746-1953

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1225626815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 NW 4TH ST STE 219",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081709",
            "telephone_number": "812-746-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 4TH ST STE 219",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081709",
            "telephone_number": "812-746-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO MY TRUTH COUNSELING & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-746-1953",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34008262A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@a1billingandadmin.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 NW 4th St Ste 219",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477081709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.