Active NPI
Journey of Hope Healing Center LLC
- Community/Behavioral Health Agency
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JOURNEY OF HOPE HEALING CENTER LLC
- Practice address
- 6335 E Main St Ste D
Mesa, AZ 85205-8948 - Phone
- (800) 983-3846
- NPI assigned
- Oct 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- India Samuels
- Title
- NP
- Phone
- (800) 983-3846
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Integrative Medicine Physician | 202D00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
6335 E Main St Ste D
Mesa, AZ 85205-8948
Mailing address
6335 E Main St Ste D
Mesa, AZ 85205-8948
Phone (480) 932-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2278376 | Journey of Hope Healing Center | Certificate of waiver | Mar 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
6335 E Main St
Ste D
Mesa, AZ 85205
Phone (480) 932-4430
6343 E Main St
Ste D
Mesa, AZ 85205
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1407283294
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1679339915
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1548741812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1225754849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 E MAIN ST STE D",
"city": "MESA",
"state": "AZ",
"postal_code": "852058948",
"telephone_number": "480-932-4430",
"fax_number": "800-983-3846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 E MAIN ST STE D",
"city": "MESA",
"state": "AZ",
"postal_code": "852058948",
"telephone_number": "800-983-3846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY OF HOPE HEALING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-14",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "INDIA",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "800-983-3846"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.