Organization Active NPI

Journey to Healing

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Olive Hill, KY
National Provider Identifier
1851097281
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JOURNEY TO HEALING
Practice address
153 West Tom T Hall Blvd
Olive Hill, KY 41164
Phone
(606) 939-8756
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Tonya M Bond Judd, LPCC
Title
Clinical Supervisor
Phone
(606) 939-8756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

153 West Tom T Hall Blvd
Olive Hill, KY 41164

Mailing address

PO Box 1107
Olive Hill, KY 41164-1107
Phone (606) 939-8756

Other practice location 1

1163 Erwin Rdg
Olive Hill, KY 41164-6520
Phone (606) 286-0497

Other practice location 2

120 Samantha St
Olive Hill, KY 41164-8099
Phone (606) 286-0497

Other practice location 3

3699 Ky Hwy 1704
Olive Hill, KY 41164
Phone (606) 286-0497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315001843 KY Part B Supplier - Clinic/Group Practice 6406220375 Receives reassigned benefits from 1 practitioner
Practice locations: Olive Hill, KY

National Provider Directory

National Provider Directory

Locations

3699 State Highway 1704
Olive Hill, KY 41164
Phone (606) 286-0497

Practitioners & affiliated clinicians

Practitioners 5

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1851097281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411641107",
            "telephone_number": "606-939-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WEST TOM T HALL BLVD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-939-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1163 Erwin Rdg",
            "address_purpose": "LOCATION",
            "city": "Olive Hill",
            "state": "KY",
            "postal_code": "411646520",
            "country_code": "US",
            "telephone_number": "606-286-0497",
            "fax_number": "606-286-0496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Samantha St",
            "address_purpose": "LOCATION",
            "city": "Olive Hill",
            "state": "KY",
            "postal_code": "411648099",
            "country_code": "US",
            "telephone_number": "606-286-0497",
            "fax_number": "606-286-0496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3699 KY HWY 1704",
            "address_purpose": "LOCATION",
            "city": "Olive Hill",
            "state": "KY",
            "postal_code": "41164",
            "country_code": "US",
            "telephone_number": "606-286-0497",
            "fax_number": "606-286-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY TO HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "BOND JUDD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "606-939-8756",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.