Organization Active NPI

Present Moment Journeys LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1801541156
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRESENT MOMENT JOURNEYS LLC
Practice address
1150 W Lunt Ave Ste B
Chicago, IL 60626-3520
Phone
(872) 600-2029
Fax
(855) 783-8724
NPI assigned
Feb 15, 2022
Last updated
Feb 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Pemba B Bayo, LCSWNPI 1063166510
Title
Owner
Phone
(872) 600-2029

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1150 W Lunt Ave Ste B
Chicago, IL 60626-3520

Mailing address

1096 W Pratt Blvd Apt 1S
Chicago, IL 60626-4480
Phone (872) 600-2029

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pembabayo@presentmomentjourneys.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724001465 IL Part B Supplier - Clinic/Group Practice 4385004290 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1150 W Lunt Ave
Ste B
Chicago, IL 60626
Phone (872) 600-2029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1801541156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 W PRATT BLVD APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264480",
            "telephone_number": "872-600-2029",
            "fax_number": "855-783-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W LUNT AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263520",
            "telephone_number": "872-600-2029",
            "fax_number": "855-783-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENT MOMENT JOURNEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "BAYO",
        "authorized_official_first_name": "PEMBA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-600-2029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pembabayo@presentmomentjourneys.com",
            "affiliation": "N",
            "address_1": "1150 W Lunt Ave Ste B",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606263520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.