Journey Therapeutic Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY THERAPEUTIC SOLUTIONS LLC

Practice address

4 Hague Rd
Windham, ME 04062-4574

Phone

(207) 422-7490

NPI assigned

Sep 24, 2020

Last updated

Mar 1, 2022By 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

Karre Kern, LCSWNPI 1922364991

Title

Owner

Phone

(207) 422-7490

Specialties & licenses 1

Addresses

Other names 1

• Purely Spirit Holistic Health, LLC Former legal business name

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.

• Karre Kern, LCSW

  • Clinical Social Worker
  • Windham, ME
  • NPI 1922364991
  Authorized official Same address or phone

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1871100867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAGUE RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624574",
            "telephone_number": "207-422-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HAGUE RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624574",
            "telephone_number": "207-422-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "KARRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-422-7490",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purely Spirit Holistic Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jeffrey E Martin MD
• Ashly D Jewell, FNP
• Colleen Jillson, LCSW, LADC, CCS
• Kayley Ann Johnson
• Paul J Johnson, PHARM D
• Juan Mateo Pmhnp-BC PLLC
• Kwonduk Jung, DMD
• Gabrielle Kana Tiezan
• Jeraldine S Keane-Dreyer, PH.D.
• Heather Keeling, DDS

• Clinical Social Worker in Windham, ME
• Providers in Windham, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.