Organization Active NPI

Heros Journey Testing and Psychotherapy PLLC

  • Psychologist
  • Okemos, MI
National Provider Identifier
1922671536
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEROS JOURNEY TESTING AND PSYCHOTHERAPY PLLC
Practice address
2109 Hamilton Rd Ste 219
Okemos, MI 48864-1700
Phone
(517) 315-8435
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Elisabeth Smith
Title
Owner
Phone
(517) 315-8435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2109 Hamilton Rd Ste 219
Okemos, MI 48864-1700

Mailing address

2109 Hamilton Rd Ste 219
Okemos, MI 48864-1700

National Provider Directory

National Provider Directory

Locations

2109 Hamilton Rd
Ste 219
Okemos, MI 48864
Phone (517) 315-8435

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1922671536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HAMILTON RD STE 219",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HAMILTON RD STE 219",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641700",
            "telephone_number": "517-315-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROS JOURNEY TESTING AND PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-315-8435"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.