Your Journey, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC5672 Issued in ME

Legal business name

YOUR JOURNEY, LLC

Practice address

43 Hatch Dr Ste 200
Caribou, ME 04736-2130

Phone

(207) 493-5210

Fax

(207) 493-5209

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Mary White, LCSWNPI 1245345065

Title

Ceo

Phone

(207) 493-5210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 3

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

• Mary White, MSW-LCSW

  • Clinical Social Worker
  • Caribou, ME
  • NPI 1245345065
  Medicare reassignment NPD Authorized official
• Brian A Fortier, LCSW

  • Clinical Social Worker
  • Travis Afb, CA
  • NPI 1740377167

  ME

  Medicare reassignment NPD
• Sherri-Lynn Gagnon

  • Clinical Social Worker
  • Caribou, ME
  • NPI 1063706463
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1659723088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HATCH DR STE 200",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362130",
            "telephone_number": "207-493-5210",
            "fax_number": "207-493-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HATCH DR STE 200",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362130",
            "telephone_number": "207-493-5210",
            "fax_number": "207-493-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-493-5210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "LC5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda L. Williams, SA COUNSELOR - LADC
• Aidynn Woods, OA
• Cody Philip Woods, DMD
• Joan S. Wright, LCSW
• Alvin Wycoco
• Dimas Yusuf, MD, DABIM, FRCPC

• Community/Behavioral Health Agency in Caribou, ME
• Providers in Caribou, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.