NPIMap

Organization Active NPI

Journey to Wellness LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1295423440
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JOURNEY TO WELLNESS LLC
Practice address
1240 W Owens Ave Ste 1
Las Vegas, NV 89106-2452
Phone
(702) 527-0660
NPI assigned
Apr 26, 2023
Organization subpart
Yes
Parent organization
JOURNEY TO WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Shamese Williams
Title
Owner
Phone
(702) 527-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1240 W Owens Ave Ste 1
Las Vegas, NV 89106-2452

Mailing address

920 Bridgewater St Apt C
Las Vegas, NV 89110-5758
Phone (702) 527-0660

Other names 1

  • JOURNEY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Journey to Wellness2 organizations share this tax ID, including this one
Part of
Journey to Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1240 W Owens Ave
Ste 1
Las Vegas, NV 89106
Phone (678) 812-9764

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1295423440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BRIDGEWATER ST APT C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105758",
            "telephone_number": "702-527-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W OWENS AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062452",
            "telephone_number": "702-527-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY TO WELLNESS LLC",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAMESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-527-0660"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOURNEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.