NPIMap

Organization Active NPI

Authentic Journey Counseling Services, P.C.

  • Mental Health Counselor
  • Shenandoah, IA
National Provider Identifier
1952840316
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001153 Issued in IA
Legal business name
AUTHENTIC JOURNEY COUNSELING SERVICES, P.C.
Practice address
509 W Sheridan Ave
Shenandoah, IA 51601-1705
Phone
(712) 520-0237
Fax
(866) 675-5954
NPI assigned
Feb 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Etta MurphyNPI 1538397468
Title
Owner
Phone
(712) 520-0237

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 001153 IA Primary

Addresses

Primary practice location

509 W Sheridan Ave
Shenandoah, IA 51601-1705

Mailing address

509 W Sheridan Ave
Shenandoah, IA 51601-1705
Phone (712) 520-0237

National Provider Directory

National Provider Directory

Locations

818 Davis Ave
Corning, IA 50841
Phone (515) 468-9021

1101 E Summit St
Red Oak, IA 51566

509 W Sheridan Ave
Shenandoah, IA 51601
Phone (712) 520-0237

Practitioners & affiliated clinicians

Practitioners 2

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": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1952840316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W SHERIDAN AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011705",
            "telephone_number": "712-520-0237",
            "fax_number": "866-675-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W SHERIDAN AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011705",
            "telephone_number": "712-520-0237",
            "fax_number": "866-675-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC JOURNEY COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-520-0237"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.