Journey Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6577 Issued in MN

Legal business name

JOURNEY COUNSELING, LLC

Doing business as

Vian M Gredvig

Practice address

1001 Twelve Oaks Center Dr Ste 1030D
Wayzata, MN 55391-4320

Phone

(952) 224-4862

Fax

(952) 224-4862

NPI assigned

Jun 30, 2015

Last updated

Feb 4, 2023By 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

Vian Maureen GredvigNPI 1942246806

Title

Sole Owner and Provider

Phone

(952) 224-4862

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Vian M Gredvig Doing business as

Locations

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.

• Vian Maureen Gredvig, MSW, LICSW

  • Clinical Social Worker
  • Wayzata, MN
  • NPI 1942246806
  Authorized official Same address or phone

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1942683669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 CRESTRIDGE DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051605",
            "telephone_number": "952-412-4490",
            "fax_number": "952-224-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DR STE 1030D",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914320",
            "telephone_number": "952-224-4862",
            "fax_number": "952-224-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13911 Ridgedale Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051743",
            "country_code": "US",
            "telephone_number": "952-224-4862",
            "fax_number": "952-224-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "GREDVIG",
        "authorized_official_first_name": "VIAN",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "SOLE OWNER AND PROVIDER",
        "authorized_official_telephone_number": "952-224-4862"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "6577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1942683669",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942246806",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1942246806",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942683669",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vian M Gredvig",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Renee Jarman
• Angela Johnson
• Christian Allen Johnson, DC
• Katie Johnson, MA, LPCC
• Madeline Davis Johnson, LMFT, ATR
• JSN Psychotherapy LLC
• JSN Psychotherapy LLC
• Phillip J Kamps, D.C.
• Susan Margaret Kane, P.T.
• Rebecca M Kastner, PHD, LP, ABPP

• Clinical Social Worker in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Clinical Social Worker in Minnesota

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