Organization Active NPI

Journey to Best Self Counseling Services, PLLC

  • Mental Illness Community Based Residential Treatment Facility
  • Enfield, CT
National Provider Identifier
1366174906
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC
Doing business as
Journey to Best Self Counseling Services PLLC
Journey to Best Self Counseling Services, PLLC
Practice address
64 Spruceland Rd
Enfield, CT 06082-2359
Phone
(860) 967-5739
NPI assigned
Jun 30, 2022
Organization subpart
Yes
Parent organization
JOURNEY TO BEST SELF COUNSELING SERVICES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Sharon Walsh, LCSWNPI 1134616519
Title
Clinical Social Worker
Phone
(860) 272-1026

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 Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

64 Spruceland Rd
Enfield, CT 06082-2359

Mailing address

31 Palomba Dr Unit 668
Enfield, CT 06082-9994
Phone (860) 272-1026

Other names 2

  • Journey to Best Self Counseling Services PLLC Doing business as
  • Journey to Best Self Counseling Services, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220729001912 CT Part B Supplier - Clinic/Group Practice 2163804626 Receives reassigned benefits from 1 practitioner
Practice locations: Enfield, CT

National Provider Directory

National Provider Directory
Part of
Journey to Best Self Counseling Services PLLC

Locations

31 Palomba Dr
Unit 668
Enfield, CT 06083

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1366174906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PALOMBA DR UNIT 668",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060829994",
            "telephone_number": "860-272-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 SPRUCELAND RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822359",
            "telephone_number": "860-967-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-272-1026",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey to Best Self Counseling Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Journey to Best Self Counseling Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.