It's Your Journey Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IT'S YOUR JOURNEY COUNSELING PLLC

Practice address

418 Broadway St
South Haven, MI 49090-1421

Phone

(269) 329-8708

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Kellie Hakken, LMSW

Title

Owner

Phone

(269) 329-8708

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1669072526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901421",
            "telephone_number": "269-329-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901421",
            "telephone_number": "269-329-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT'S YOUR JOURNEY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "HAKKEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-329-8708",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim House
• Jamie Lee Hubbard, ILC, PPD
• Waseem Sheriff Humayoon Sheriff
• Jeffrey Bryan Hungerford
• Nancy Ann Insidioso, LMSW
• Anne Marie Jaeger-Heiden, M.A., LPC
• James Sirajuddin MD PC (Riverside Medical Clinic)
• Karen L Janson, MD
• Jenny Nicole Jordan-Dekam
• Eliezer Joseph, MSW

• Clinical Social Worker in South Haven, MI
• Providers in South Haven, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.