Organization Active NPI

Journey to Mental Wellness, LLC

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1730829292
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEY TO MENTAL WELLNESS, LLC
Practice address
1305 Big Oak TRL
Aurora, IL 60506-6302
Phone
(630) 200-8779
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Marisol Reyes Schroeder, LCSW
Title
Owner/Therapist
Phone
(630) 200-8779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1305 Big Oak TRL
Aurora, IL 60506-6302

Mailing address

1305 Big Oak TRL
Aurora, IL 60506-6302
Phone (630) 200-8779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1730829292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BIG OAK TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066302",
            "telephone_number": "630-200-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BIG OAK TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066302",
            "telephone_number": "630-200-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO MENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "630-200-8779",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.