Active NPI
Journeymakers LLC
- Mental Health Counselor
- Elkhart, IN
National Provider Identifier
1780242818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JOURNEYMAKERS LLC
- Practice address
- 501 W Bristol St
Elkhart, IN 46514-2964 - Phone
- (574) 584-4571
- NPI assigned
- Jun 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyne S Andersohn
- Title
- Owner
- Phone
- (574) 584-4571
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
501 W Bristol St
Elkhart, IN 46514-2964
Mailing address
501 W Bristol St
Elkhart, IN 46514-2964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3901564A | Other | LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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": "1559606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1780242818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W BRISTOL ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142964",
"telephone_number": "574-584-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEYMAKERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "ANDERSOHN",
"authorized_official_first_name": "CAROLYNE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-584-4571"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3901564A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.