Active NPI
The Healing Journey LLC
- Community/Behavioral Health Agency
- Nunda, NY
National Provider Identifier
1962862425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 077265-1
- Legal business name
- THE HEALING JOURNEY LLC
- Practice address
- 25 S. West St.
Nunda, NY 14517-0614 - Phone
- (585) 281-9947
- NPI assigned
- Feb 26, 2016
- Last updated
- Feb 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne Matossian, LCSW-R
- Title
- President
- Phone
- (585) 281-9947
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 077265-1 | NY | Primary |
Addresses
Primary practice location
25 S. West St.
Nunda, NY 14517-0614
Mailing address
PO Box 694
25 S. West St.
Nunda, NY 14517-0694
Phone (585) 281-9947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Social Worker
- Geneseo, NY
- NPI 1831350503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456444800000",
"number": "1962862425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 694",
"address_2": "25 S. WEST ST.",
"city": "NUNDA",
"state": "NY",
"postal_code": "145170694",
"telephone_number": "585-281-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S. WEST ST.",
"city": "NUNDA",
"state": "NY",
"postal_code": "145170614",
"telephone_number": "585-281-9947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEALING JOURNEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A",
"authorized_official_last_name": "MATOSSIAN",
"authorized_official_first_name": "JEANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "585-281-9947",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "077265-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nunda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.