Organization Active NPI

Forward Journey Therapy LLC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1396487559
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FORWARD JOURNEY THERAPY LLC
Practice address
3630 Sinton Rd Ste 320
Colorado Springs, CO 80907-5070
Phone
(719) 360-9045
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Ms. Lindy Kay Wetzel, LCSWNPI 1487286670
Title
Owner
Phone
(719) 360-9045

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 320
Colorado Springs, CO 80907-5070

Mailing address

832 E Kiowa St Apt 1
Colorado Springs, CO 80903-3590
Phone (719) 650-5374

Other identifiers 1

IdentifierTypeStateIssuer
9000181542MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindy@forwardjourneytherapy.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319003681 CO Part B Supplier - Clinic/Group Practice 0648617118 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

525 N Cascade Ave
Colorado Springs, CO 80903
Phone (719) 360-9045

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": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1396487559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E KIOWA ST APT 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033590",
            "telephone_number": "719-650-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075070",
            "telephone_number": "719-360-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD JOURNEY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-360-9045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000181542",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindy@forwardjourneytherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3630 Sinton Rd Ste 320",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809075070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.