Organization Active NPI

Itsa Journey, LLC

  • Community/Behavioral Health Agency
  • Riverside, IL
National Provider Identifier
1750100269
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ITSA JOURNEY, LLC
Practice address
2240 S 2ND Ave
Riverside, IL 60546-1307
Phone
(708) 267-1971
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Juan C Tapia, LCSW
Title
Therapist
Phone
(708) 267-1971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2240 S 2ND Ave
Riverside, IL 60546-1307

Mailing address

2240 S 2ND Ave
Riverside, IL 60546-1307
Phone (708) 267-1971

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1750100269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 S 2ND AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461307",
            "telephone_number": "708-267-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 S 2ND AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461307",
            "telephone_number": "708-267-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITSA JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-267-1971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.