Journey of Grace Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5970-125 Issued in WI

Legal business name

JOURNEY OF GRACE COUNSELING LLC

Practice address

5497 W Waterford LN
Suite a
Appleton, WI 54913-8509

Phone

(920) 750-6120

Fax

(920) 750-6121

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Deborah Ann Bongers, LPC

Title

Licensed Professional Counselor

Phone

(920) 750-6120

Specialties & licenses 1

Addresses

Other names 1

• Journey of Grace Other name

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1619325164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 W SUNNYVIEW CIR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141164",
            "telephone_number": "920-750-6120",
            "fax_number": "920-750-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 W WATERFORD LN",
            "address_2": "SUITE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138509",
            "telephone_number": "920-750-6120",
            "fax_number": "920-750-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF GRACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "BONGERS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "920-750-6120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "5970-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey of Grace",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Lea Jones
• Anne Jordan, MD
• Bradley J Jorgensen, OD
• Jorgensen, Schulz and Associates Eyecare Center, SC
• Shanthi A Joseph, MD
• James Andrew Jozwiak, LCSW
• Judy F. Ellefson, D.C., S.C.
• Nicole E. Juedes, CST
• Heidi Julien, R.N.
• Mary Ellen Julien, OTR

• Community/Behavioral Health Agency in Appleton, WI
• Providers in Appleton, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.