Organization Active NPI

Healing Journey Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Midland, MI
National Provider Identifier
1306483706
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEALING JOURNEY COUNSELING PLLC
Practice address
240 W Main St Ste 2600
Midland, MI 48640-5191
Phone
(989) 890-5123
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Lisa Ciacich
Title
Owner
Phone
(989) 890-5123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

240 W Main St Ste 2600
Midland, MI 48640-5191

Mailing address

4581 Val CT
Auburn, MI 48611-9522
Phone (989) 890-5123

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191226001460 MI Part B Supplier - Clinic/Group Practice 4880028901 Receives reassigned benefits from 1 practitioner
Practice locations: Midland, MI

National Provider Directory

National Provider Directory

Locations

2715 Ashman St
Midland, MI 48640
Phone (989) 272-3022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1306483706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4581 VAL CT",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119522",
            "telephone_number": "989-890-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MAIN ST STE 2600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405191",
            "telephone_number": "989-890-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING JOURNEY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "CIACICH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-890-5123"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "240 W Main St Ste 2600",
            "city": "Midland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486405191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.