Organization Active NPI

Journey of Courage LLC

  • Professional Counselor
  • Bastrop, TX
National Provider Identifier
1881292407
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JOURNEY OF COURAGE LLC
Practice address
111 N Hasler Blvd Ste 215
Bastrop, TX 78602-3984
Phone
(210) 244-3154
NPI assigned
Oct 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Thelma S. Bell-Punchard, LPCNPI 1720590193
Title
Professional Counselor
Phone
(210) 244-3154

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

111 N Hasler Blvd Ste 215
Bastrop, TX 78602-3984

Mailing address

639 Waugh Way
Bastrop, TX 78602-7465
Phone (210) 244-3154

Other identifiers 1

IdentifierTypeStateIssuer
75047OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

111 N Hasler Blvd
Ste 215
Bastrop, TX 78602
Phone (210) 244-3154

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1881292407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 WAUGH WAY",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786027465",
            "telephone_number": "210-244-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HASLER BLVD STE 215",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023984",
            "telephone_number": "210-244-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF COURAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BELL-PUNCHARD",
        "authorized_official_first_name": "THELMA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "210-244-3154",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "75047",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.