Organization Active NPI

Journey Counseling and Wellness Services LLC

  • Mental Health Counselor
  • Cleveland, OH
National Provider Identifier
1225788896
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JOURNEY COUNSELING AND WELLNESS SERVICES LLC
Practice address
13110 Shaker SQ # C200-E
Cleveland, OH 44120-2373
Phone
(216) 201-9696
NPI assigned
Mar 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Egypt Burge, LPCCNPI 1942754874
Title
Owner
Phone
(216) 543-1194

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

13110 Shaker SQ # C200-E
Cleveland, OH 44120-2373

Mailing address

12600 Rockside Rd # 303
Garfield Heights, OH 44125-4525
Phone (216) 543-1194

National Provider Directory

National Provider Directory

Locations

13110 Shaker Sq
#C200E
Cleveland, OH 44120
Phone (216) 201-9696

Practitioners & affiliated clinicians

Practitioners 1

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": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1225788896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 ROCKSIDE RD # 303",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254525",
            "telephone_number": "216-543-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 SHAKER SQ # C200-E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202373",
            "telephone_number": "216-201-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING AND WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "EGYPT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-543-1194",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.