Active NPI
New Journeys Counseling
- Mental Health Counselor
- Fairmount, IN
National Provider Identifier
1245574102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3902256A
- Legal business name
- NEW JOURNEYS COUNSELING
- Practice address
- 7594 S 150 E
Fairmount, IN 46928-9212 - Phone
- (765) 661-8810
- NPI assigned
- Nov 15, 2012
- 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
- Beverly Young, LMHC
- Title
- Owner
- Phone
- (765) 661-8810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3902256A | IN | Primary |
Addresses
Primary practice location
7594 S 150 E
Fairmount, IN 46928-9212
Mailing address
PO Box 106
Gas City, IN 46933-0106
Phone (765) 661-8810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689963928 | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1245574102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "GAS CITY",
"state": "IN",
"postal_code": "469330106",
"telephone_number": "765-661-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7594 S 150 E",
"city": "FAIRMOUNT",
"state": "IN",
"postal_code": "469289212",
"telephone_number": "765-661-8810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JOURNEYS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-661-8810",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "3902256A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689963928",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmount, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.