Organization Active NPI

Journeys

  • Clinical Social Worker
  • Lexington, MA
National Provider Identifier
1275254039
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEYS
Practice address
1775 Massachusetts Ave Ste 3a
Lexington, MA 02420-5322
Phone
(781) 472-0341
NPI assigned
Sep 8, 2022
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Lisa C Van Oossanen, LICSWNPI 1538743430
Title
Psychotherapist
Phone
(503) 720-8336

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1775 Massachusetts Ave Ste 3a
Lexington, MA 02420-5322

Mailing address

32 Tyler Rd
Lexington, MA 02420-2426
Phone (503) 720-8336

Other identifiers 1

IdentifierTypeStateIssuer
1538743430OtherMANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa@journeyspsychotherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240810000085 MA Part B Supplier - Clinic/Group Practice 5991174492 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, MA

National Provider Directory

National Provider Directory

Locations

1775 Massachusetts Ave
Ste 3A
Lexington, MA 02420
Phone (503) 720-8336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1275254039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TYLER RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024202426",
            "telephone_number": "503-720-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 MASSACHUSETTS AVE STE 3A",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205322",
            "telephone_number": "781-472-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "VAN OOSSANEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "503-720-8336",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538743430",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@journeyspsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1775 Massachusetts Ave Ste 3A",
            "city": "Lexington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024205322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.

Verify at the official NPI Registry.