Journey of Growth Therapy, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JOURNEY OF GROWTH THERAPY, PLLC

Practice address

1501 Lera
Suite 1
Weatherford, OK 73096-2877

Phone

(580) 816-4100

NPI assigned

Mar 23, 2023

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JOURNEY OF GROWTH THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Brett Charles Tracy, LPCNPI 1801127964

Title

Sole MBR

Phone

(580) 682-1351

Specialties & licenses 1

Addresses

Part of

Journey of Growth Therapy PLLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Charles Tracy, MA LPC

  • Mental Health Counselor
  • Weatherford, OK
  • NPI 1801127964
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1376246876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W. OKLAHOMA AVE",
            "address_2": "APT 6",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962877",
            "telephone_number": "580-682-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LERA",
            "address_2": "SUITE 1",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730962877",
            "telephone_number": "580-816-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF GROWTH THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY OF GROWTH THERAPY, PLLC",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "580-682-1351",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rose Johnson
• Jonathan Ray Long MD LLC
• Amy Lee Ann Jones
• Tatum Jones, LAT, ATC
• Tiffany Jones
• Dawn Marie Karlin
• Hamzah Karrit, DDS
• Kasey Badgett Pharmacy Services LLC
• Crystal Dawn Kautz, DPH
• Kayli Layne Keener

• Mental Health Counselor in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Mental Health Counselor in Oklahoma

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