Organization Active NPI

The Healing Journey LLC

  • Community/Behavioral Health Agency
  • Nunda, NY
National Provider Identifier
1962862425
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
077265-1 Issued in NY
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Jeanne Matossian, LCSW-RNPI 1831350503
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)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
1831350503OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160428002140 NY Part B Supplier - Clinic/Group Practice 9436458221 Receives reassigned benefits from 1 practitioner
Practice locations: Nunda, NY

National Provider Directory

National Provider Directory

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": "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831350503",
            "state": null
        }
    ],
    "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.

Verify at the official NPI Registry.