Organization Active NPI

Holistic Journey Counseling, LLC

  • Community/Behavioral Health Agency
  • Bethlehem, PA
National Provider Identifier
1396354155
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLISTIC JOURNEY COUNSELING, LLC
Practice address
3708 Freemansburg Ave Unit 2
Bethlehem, PA 18020-6512
Phone
(610) 730-7416
Fax
(267) 373-1640
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Angelique Lynn Gutekunst, LPCNPI 1982238820
Title
Therapist
Phone
(610) 730-7416

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3708 Freemansburg Ave Unit 2
Bethlehem, PA 18020-6512

Mailing address

2801 Bridge LN
Bethlehem, PA 18020-7722
Phone (610) 730-0996

Other names 1

  • Holistic Journey Counseling, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3708 Freemansburg Ave
Unit 2
Bethlehem, PA 18020
Phone (610) 730-7416

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1396354155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BRIDGE LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180207722",
            "telephone_number": "610-730-0996",
            "fax_number": "267-373-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 FREEMANSBURG AVE UNIT 2",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180206512",
            "telephone_number": "610-730-7416",
            "fax_number": "267-373-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC JOURNEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "GUTEKUNST",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "610-730-7416",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Journey Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.