Active NPI
Journey Health Systems LLC
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1245945260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JOURNEY HEALTH SYSTEMS LLC
- Practice address
- 836 S Suburban Ave
Springfield, MO 65802-6774 - Phone
- (417) 658-5409
- NPI assigned
- Jan 16, 2023
- 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
- Mr. Gene Estrada Garcia I, MS
- Title
- Ceo, Owner
- Phone
- (417) 658-5409
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 | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
836 S Suburban Ave
Springfield, MO 65802-6774
Mailing address
3871 S Homewood St
Springfield, MO 65807-3963
Phone (417) 658-5409
Other practice location 1
3871 S Homewood St
Springfield, MO 65807-3963
Phone (417) 658-5409
Other names 1
- Journey Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
836 S Suburban Ave
#360
Springfield, MO 65802
Phone (417) 658-5409
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Springfield, MO
- NPI 1578916946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1245945260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 S HOMEWOOD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073963",
"telephone_number": "417-658-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 S SUBURBAN AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658026774",
"telephone_number": "417-658-5409"
}
],
"practiceLocations": [
{
"address_1": "3871 S Homewood St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658073963",
"country_code": "US",
"telephone_number": "417-658-5409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOURNEY HEALTH SYSTEMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "ESTRADA",
"authorized_official_title_or_position": "CEO, OWNER",
"authorized_official_telephone_number": "417-658-5409",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Journey Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.