Active NPI
Journey to Self, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
National Provider Identifier
1659029064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Eileen Catherine Moran, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Doylestown, PA
- NPI 1134669641
-
- Professional Counselor
- Philadelphia, PA
- NPI 1699203547
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.