Organization Active NPI

Resilient Journeys, PLLC

  • Clinical Social Worker
  • Hendersonville, NC
National Provider Identifier
1710245543
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005794 Issued in NC
Legal business name
RESILIENT JOURNEYS, PLLC
Practice address
220 3Rd Ave W Ste a
Hendersonville, NC 28739-4331
Phone
(828) 376-0055
Fax
(828) 376-0155
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Ms. Maria S. White, LCSW/LCASNPI 1295982502
Title
Owner/Therapist
Phone
(828) 376-0055

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1752 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C005794 NC Primary
Community/Behavioral Health Agency 251S00000X C005794 NC

Addresses

Primary practice location

220 3Rd Ave W Ste a
Hendersonville, NC 28739-4331

Mailing address

PO Box 1426
Hendersonville, NC 28793-1426
Phone (828) 376-0055

Other identifiers 2

IdentifierTypeStateIssuer
6007035MedicaidNC
6008855MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000422 NC Part B Supplier - Clinic/Group Practice 3870759616 Receives reassigned benefits from 1 practitioner
Practice locations: Hendersonville, NC

National Provider Directory

National Provider Directory

Practitioners 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1710245543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287931426",
            "telephone_number": "828-376-0055",
            "fax_number": "828-376-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 3RD AVE W STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394331",
            "telephone_number": "828-376-0055",
            "fax_number": "828-376-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT JOURNEYS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "828-376-0055",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW/LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1752",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005794",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007035",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.