Organization Active NPI

Journey Counseling and Community Services, LLC

  • Community/Behavioral Health Agency
  • Ponchatoula, LA
National Provider Identifier
1801337449
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JOURNEY COUNSELING AND COMMUNITY SERVICES, LLC
Practice address
1180 Highway 51 Ste a
Ponchatoula, LA 70454-6365
Phone
(985) 467-0730
Fax
(955) 467-0674
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Jerwanna Collier Clay, LCSW
Title
Executive Director
Phone
(985) 467-0730

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 11298 LA
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1180 Highway 51 Ste a
Ponchatoula, LA 70454-6365

Mailing address

PO Box 1272
Ponchatoula, LA 70454-1272
Phone (985) 467-0730

Other identifiers 1

IdentifierTypeStateIssuer
BH0012803MedicaidLA

National Provider Directory

National Provider Directory

Locations

1101 W Oak St
Ste 3
Amite, LA 70422

1101 W Oak St
Ste 2
Amite, LA 70422
Phone (985) 247-7400

1180 Highway 51
Ste A
Ponchatoula, LA 70454
Phone (985) 467-0730

Practitioners & affiliated clinicians

Practitioners 7

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": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1801337449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704541272",
            "telephone_number": "985-467-0730",
            "fax_number": "985-467-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 HIGHWAY 51 STE A",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546365",
            "telephone_number": "985-467-0730",
            "fax_number": "955-467-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING AND COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JERWANNA",
        "authorized_official_middle_name": "COLLIER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-467-0730",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11298",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BH0012803",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.