Organization Active NPI

Journey 2 Grow Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Basking Ridge, NJ
National Provider Identifier
1821771569
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JOURNEY 2 GROW THERAPY LLC
Practice address
233 Mt. Airy Rd.
Room 103
Basking Ridge, NJ 07920
Phone
(908) 373-1079
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Eunice Wonjoo Lee, LCSWNPI 1942744867
Title
Psychotherapist
Phone
(718) 309-1999

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 2

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

Addresses

Primary practice location

233 Mt. Airy Rd.
Room 103
Basking Ridge, NJ 07920

Mailing address

23 Hampton CT.
Attn: Eunice Lee
Basking Ridge, NJ 07920
Phone (718) 309-1999

Other practice location 1

23 Hampton Ct.
Attn: Eunice Lee
Basking Ridge, NJ 07920
Phone (718) 309-1999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231016001149 NJ Part B Supplier - Clinic/Group Practice 2163877895 Receives reassigned benefits from 1 practitioner
Practice locations: Basking Ridge, NJ

National Provider Directory

National Provider Directory

Locations

55 S Finley Ave
Fl 2
Basking Ridge, NJ 07920

233 Mount Airy Rd
Rm 103
Basking Ridge, NJ 07920
Phone (908) 373-1079

55 S Finley Ave
Basking Ridge, NJ 07920
Phone (908) 373-1079

Practitioners & affiliated clinicians

Practitioners 1

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1821771569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HAMPTON CT.",
            "address_2": "ATTN: EUNICE LEE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "07920",
            "telephone_number": "718-309-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MT. AIRY RD.",
            "address_2": "ROOM 103",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "07920",
            "telephone_number": "908-373-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Hampton Ct.",
            "address_2": "Attn: Eunice Lee",
            "address_purpose": "LOCATION",
            "city": "Basking Ridge",
            "state": "NJ",
            "postal_code": "07920",
            "country_code": "US",
            "telephone_number": "718-309-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY 2 GROW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-01-06",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "WONJOO",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "718-309-1999",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.