Organization Active NPI

Habakkuks Journey

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1932809126
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HABAKKUKS JOURNEY
Practice address
3810 W Florissant Ave
Saint Louis, MO 63107-1621
Phone
(314) 913-5836
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Mrs. Antionette Travis
Title
Ceo
Phone
(314) 345-0028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3810 W Florissant Ave
Saint Louis, MO 63107-1621

Mailing address

2109 Allen Ave
Saint Louis, MO 63104-2630
Phone (314) 345-0028

Other names 1

  • Habakkuks Journey Doing business as

National Provider Directory

National Provider Directory

Locations

3810 W Florissant Ave
Saint Louis, MO 63107
Phone (314) 913-5836

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1932809126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 ALLEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042630",
            "telephone_number": "314-345-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071621",
            "telephone_number": "314-913-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABAKKUKS JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-345-0028",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habakkuks Journey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.