Courageous Journey Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COURAGEOUS JOURNEY PSYCHOLOGICAL SERVICES, LLC

Practice address

168 Bluefish Ave
Russellville, AR 72802-2407

Phone

(479) 765-1187

NPI assigned

May 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maggie James, PH.D.NPI 1427503028

Title

Owner

Phone

(479) 765-1187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maggie James, PHD

  • Psychologist
  • Russellville, AR
  • NPI 1427503028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588982400000",
    "number": "1821610171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BLUEFISH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BLUEFISH AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022407",
            "telephone_number": "479-765-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS JOURNEY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-09",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-765-1187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valerie Couture
• Anna Leigh Cox
• Kashlee Cox
• Payten Cox
• Mallory Cranor, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.