Peaceful Journey

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00330000 Issued in NJ

Legal business name

PEACEFUL JOURNEY

Practice address

328 Changebridge Road
Montville, NJ 07045

Phone

(908) 455-1058

Fax

(888) 834-0604

NPI assigned

Jul 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Lori Lynn, LPC CSW NBCC

Title

Owner

Phone

(908) 455-1058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1376985085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 CHANGEBRIDGE ROAD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07405",
            "telephone_number": "908-455-1058",
            "fax_number": "888-834-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 CHANGEBRIDGE ROAD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "908-455-1058",
            "fax_number": "888-834-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-455-1058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC CSW NBCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00330000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Montville, NJ
• Providers in Montville, NJ by specialty
• Mental Health Counselor in New Jersey

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