Organization Active NPI

Journey Outreach, LLC

  • Community/Behavioral Health Agency
  • Lake Charles, LA
National Provider Identifier
1477845923
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOURNEY OUTREACH, LLC
Practice address
504 Julius St
Lake Charles, LA 70605-2732
Phone
(337) 496-4941
NPI assigned
May 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Paula Kline, PMHNP-BC
Title
Sole Proprietor
Phone
(337) 496-4941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

504 Julius St
Lake Charles, LA 70605-2732

Mailing address

504 Julius St
Lake Charles, LA 70605-2732
Phone (337) 496-4941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1477845923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 JULIUS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052732",
            "telephone_number": "337-496-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 JULIUS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052732",
            "telephone_number": "337-496-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OUTREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "337-496-4941",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.