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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831350503 | Other | INDIVIDUAL NPI |
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.
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.