Organization Active NPI

A Soulful Journey Into Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1336087386
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
A SOULFUL JOURNEY INTO WELLNESS
Practice address
1014 West Nash St.
Milwaukee, WI 53206
Phone
(414) 522-1403
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Derica Ringo, LPCNPI 1598528887
Title
Psychotherapist
Phone
(414) 398-6766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1014 West Nash St.
Milwaukee, WI 53206

Mailing address

1014 W Nash St
Milwaukee, WI 53206-3070
Phone (414) 398-6766

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.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1336087386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 W NASH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532063070",
            "telephone_number": "414-398-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WEST NASH ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53206",
            "telephone_number": "414-522-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SOULFUL JOURNEY INTO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "RINGO",
        "authorized_official_first_name": "DERICA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "414-398-6766",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.