Journey Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C6696 Issued in MS

Legal business name

JOURNEY COUNSELING SERVICES, LLC

Practice address

2080 Dunbarton Dr
Suite 1
Jackson, MS 39216-5016

Phone

(601) 982-0948

Fax

(877) 907-6577

NPI assigned

Aug 11, 2014

Last updated

May 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kira Johnson, LCSW

Title

Clinical Director

Phone

(601) 982-0948

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1851700249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59397",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392849397",
            "telephone_number": "601-982-0948",
            "fax_number": "877-907-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 DUNBARTON DR",
            "address_2": "SUITE 1",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165016",
            "telephone_number": "601-982-0948",
            "fax_number": "877-907-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "601-982-0948",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C6696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06202806",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet E Jordan, CRNA
• Joseph Jordan, MA, LPC
• Leslie Allen Jordan, CRNA
• Nancy L Jordan, FNP
• David Josey Jr., M.D.
• Journeycare Medical, LLC
• Joyce D Wade Pulmonary & Sleep Specialist
• Pam Joyner, OT
• Jpa Pathology, P.a.
• Julie Wyatt Dermatology Clinic, PLLC

• Clinical Social Worker in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.