NPIMap

Organization Active NPI

Journey Counseling Center Provo LLC

  • Foster Care Agency
  • Provo, UT
National Provider Identifier
1811319502
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
20850 Issued in UT
Legal business name
JOURNEY COUNSELING CENTER PROVO LLC
Practice address
619 N 500 W
Provo, UT 84601-1547
Phone
(801) 375-4240
Fax
(801) 375-4241
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
THE JOURNEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Vicki GoodmanNPI 1003237991
Title
Quality Assurance Director
Phone
(801) 785-0465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 20850 UT Primary

Addresses

Primary practice location

619 N 500 W
Provo, UT 84601-1547

Mailing address

619 N 500 W
Provo, UT 84601-1547
Phone (801) 375-4240

National Provider Directory

National Provider Directory
Part of
The Journey

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": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1811319502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011547",
            "telephone_number": "801-375-4240",
            "fax_number": "801-375-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING CENTER PROVO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JOURNEY",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "801-785-0465"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "20850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.