Organization Active NPI

Journey Thru Counseling & Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Rocky Mount, VA
National Provider Identifier
1952001166
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JOURNEY THRU COUNSELING & WELLNESS, LLC
Doing business as
Journey thru Counseling & Wellness
Practice address
200 Oak St
Rocky Mount, VA 24151-1201
Phone
(276) 692-6927
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
Andrea Suzette Reynolds, LCSWNPI 1598465791
Title
Owner
Phone
(276) 692-6927

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

200 Oak St
Rocky Mount, VA 24151-1201

Mailing address

200 Oak St
Rocky Mount, VA 24151-1201
Phone (276) 692-6927

Other names 1

  • Journey thru Counseling & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524002954 VA Part B Supplier - Clinic/Group Practice 9638511470 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Mount, VA

National Provider Directory

National Provider Directory

Locations

5 E Court St
Ste 101
Rocky Mount, VA 24151
Phone (540) 493-7696

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1952001166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511201",
            "telephone_number": "276-692-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511201",
            "telephone_number": "276-692-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY THRU COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-692-6927",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey thru Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, VA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.