Organization Active NPI

Authentic Journeys, LLC

  • Mental Health Counselor
  • Thornton, CO
National Provider Identifier
1285182188
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4089 Issued in CO
Legal business name
AUTHENTIC JOURNEYS, LLC
Practice address
9351 Grant St
Suite 480
Thornton, CO 80229-4358
Phone
(303) 882-4679
Fax
(303) 479-8025
NPI assigned
Sep 20, 2016
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Jennifer NakataNPI 1285031070
Title
Owner/Therapist
Phone
(303) 882-4679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4089 CO Primary

Addresses

Primary practice location

9351 Grant St
Suite 480
Thornton, CO 80229-4358

Mailing address

PO Box 29737
Thornton, CO 80229-0737
Phone (303) 882-4679

Other identifiers 1

IdentifierTypeStateIssuer
1285031070OtherNPI INDIVIDUAL

National Provider Directory

National Provider Directory

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": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1285182188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29737",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802290737",
            "telephone_number": "303-882-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST",
            "address_2": "SUITE 480",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294358",
            "telephone_number": "303-882-4679",
            "fax_number": "303-479-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC JOURNEYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "NAKATA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "303-882-4679"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1285031070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.