Organization Active NPI

Journey to Self, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1659029064
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOURNEY TO SELF, LLC
Practice address
2816 Salmon St
Philadelphia, PA 19134-5603
Phone
(484) 515-4344
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Ms. Eileen Catherine Moran, LPCNPI 1134669641
Title
Part-Owner
Phone
(267) 391-7850

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2816 Salmon St
Philadelphia, PA 19134-5603

Mailing address

1602 Frankford Ave Unit 3743
Philadelphia, PA 19125-4432

Other practice location 1

9071 Mill Creek Rd Apt 1318
Levittown, PA 19054-4223
Phone (267) 391-7850

National Provider Directory

National Provider Directory

Locations

1602 Frankford Ave
Unit 3743
Philadelphia, PA 19125

Practitioners & affiliated clinicians

Practitioners 2

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1659029064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 FRANKFORD AVE UNIT 3743",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 SALMON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345603",
            "telephone_number": "484-515-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9071 Mill Creek Rd Apt 1318",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190544223",
            "country_code": "US",
            "telephone_number": "267-391-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY TO SELF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "267-391-7850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.