Organization Active NPI

Journey to Discovery Counseling LLC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1851859755
Registry record updated Mar 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEY TO DISCOVERY COUNSELING LLC
Practice address
1234 Pearl St Ste 4B
Eugene, OR 97401-3642
Phone
(541) 393-2280
Fax
(541) 575-8821
NPI assigned
Mar 9, 2019
Last updated
Mar 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2019

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

Authorized official

Name
Lori Ann Wilson, LCSWNPI 1114329422
Title
Sole Member
Phone
(541) 606-7390

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1234 Pearl St Ste 4B
Eugene, OR 97401-3642

Mailing address

88099 Lindsay LN
Veneta, OR 97487-9698
Phone (541) 393-2280

Other practice location 1

88099 Lindsay Ln
Veneta, OR 97487-9698
Phone (541) 393-2280

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL loriwilsonlcsw@journeytodiscoverycounseling.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200128000458 OR Part B Supplier - Clinic/Group Practice 8123453800 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

1234 Pearl St
Ste 4B
Eugene, OR 97401
Phone (541) 393-2280

205 W 10th Ave
Eugene, OR 97401
Phone (541) 393-2280

345 W 13th Ave
Rm 3
Eugene, OR 97401
Phone (541) 393-2280

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": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1851859755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88099 LINDSAY LN",
            "city": "VENETA",
            "state": "OR",
            "postal_code": "974879698",
            "telephone_number": "541-393-2280",
            "fax_number": "541-575-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 PEARL ST STE 4B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013642",
            "telephone_number": "541-393-2280",
            "fax_number": "541-575-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88099 Lindsay Ln",
            "address_purpose": "LOCATION",
            "city": "Veneta",
            "state": "OR",
            "postal_code": "974879698",
            "country_code": "US",
            "telephone_number": "541-393-2280",
            "fax_number": "541-575-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY TO DISCOVERY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-606-7390",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "loriwilsonlcsw@journeytodiscoverycounseling.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "1234 Pearl St Ste 4B",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974013642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.