Active NPI
Journey Counseling Corp
- Mental Health Counselor
- Watertown, SD
National Provider Identifier
1790429652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JOURNEY COUNSELING CORP
- Practice address
- 1103 Jenson Ave SE
Watertown, SD 57201-5259 - Phone
- (605) 878-1234
- Fax
- (605) 878-2211
- NPI assigned
- Apr 26, 2022
- 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
- Mary Kay Johnson, CSW-PIP
- Title
- Clinical Therapist
- Phone
- (605) 881-0860
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1103 Jenson Ave SE
Watertown, SD 57201-5259
Mailing address
1103 Jenson Ave SE
Watertown, SD 57201-5259
Phone (605) 878-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Watertown, SD
- NPI 1598848921
-
- Chiropractor
- Watertown, SD
- NPI 1164586590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1790429652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 JENSON AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572015259",
"telephone_number": "605-878-1234",
"fax_number": "605-878-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 JENSON AVE SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572015259",
"telephone_number": "605-878-1234",
"fax_number": "605-878-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY COUNSELING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "605-881-0860",
"authorized_official_credential": "CSW-PIP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.