Organization Active NPI

Sojourner Psychotherapy PLC

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1316378060
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06424 Issued in IA
Legal business name
SOJOURNER PSYCHOTHERAPY PLC
Practice address
300 Scott CT
Iowa City, IA 52245-3951
Phone
(319) 339-1111
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Ms. Brenda Lee Keenan, LISW; RPT;CADC
Title
Psychotherapist
Phone
(319) 339-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 06424 IA Primary

Addresses

Primary practice location

300 Scott CT
Iowa City, IA 52245-3951

Mailing address

300 Scott CT
Iowa City, IA 52245-3951
Phone (319) 339-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1316378060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SCOTT CT",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453951",
            "telephone_number": "319-339-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCOTT CT",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453951",
            "telephone_number": "319-339-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOJOURNER PSYCHOTHERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "319-339-1111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW; RPT;CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.