Sacred Journey Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SACRED JOURNEY INSTITUTE

Doing business as

Ascend Your Soul

Practice address

20550 S Lagrange Rd Ste 210
Frankfort, IL 60423-6042

Phone

(708) 703-1791

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Dana Massat, LCPCNPI 1366067878

Title

Owner

Phone

(708) 703-1791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ascend Your Soul Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Massat, MA, LPC

  • Professional Counselor
  • Frankfort, IL
  • NPI 1366067878
  NPD Authorized official

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1528760071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 KLUTH DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489405",
            "telephone_number": "708-703-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20550 S LAGRANGE RD STE 210",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236042",
            "telephone_number": "708-703-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED JOURNEY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MASSAT",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-703-1791",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR BCBS",
            "identifier": "1366067878",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Your Soul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel A Ryba, P.T.
• Ryan Anthony Ryba, PT, DPT
• Haley Rybczyk
• Lori Sabal
• Amanda Sabo, M.H.S., CCC-SLP/L
• Ann Miria Sajeev
• Linda F Samson, PHD, RN, BC, NEA-BC
• Debra Ann Santefort, M.S. CCC-SLP/L
• Noe Santiago, MPT
• Joseph Santillo, ATC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.