Active NPI
Journey Behavioral Health, LLC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Sulphur, LA
National Provider Identifier
1295065241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 05359
- Legal business name
- JOURNEY BEHAVIORAL HEALTH, LLC
- Practice address
- 423 Cypress St.
Sulphur, LA 70663 - Phone
- (337) 528-7992
- Fax
- (337) 528-7994
- NPI assigned
- Jan 13, 2010
- 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
- Stacey R. Maze
- Title
- Office Manager
- Phone
- (337) 528-7992
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2176 | LA | |
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 8971 | LA | |
| Psychiatry Physician | 2084P0800X | 021615 | LA | |
| Psychiatry Physician | 2084P0800X | |||
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 05359 | LA | Primary |
Addresses
Primary practice location
423 Cypress St.
Sulphur, LA 70663
Mailing address
423 Cypress St.
Sulphur, LA 70663
Phone (337) 528-7992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1815713 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
423 Cypress St
Sulphur, LA 70663
Phone (337) 528-7992
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Marrero, LA
- NPI 1942381298
-
- Clinical Social Worker
- Sulphur, LA
- NPI 1134310634
-
- Psychiatry Physician
- New Orleans, LA
- NPI 1962403303
-
- Psychiatry Physician
- Lake Charles, LA
- NPI 1760464796
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Sulphur, LA
- NPI 1780909036
-
- Clinical Psychologist
- Sulphur, LA
- NPI 1073797999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1295065241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 CYPRESS ST.",
"city": "SULPHUR",
"state": "LA",
"postal_code": "70663",
"telephone_number": "337-528-7992",
"fax_number": "337-528-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 CYPRESS ST.",
"city": "SULPHUR",
"state": "LA",
"postal_code": "70663",
"telephone_number": "337-528-7992",
"fax_number": "337-528-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-13",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "MAZE",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "337-528-7992"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "LA",
"license": "2176",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "8971",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "021615",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "LA",
"license": "05359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1815713",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.