Organization Active NPI

Journey Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1972299683
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JOURNEY MENTAL HEALTH PLLC
Practice address
5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-2041
Phone
(515) 468-3238
Fax
(515) 655-8535
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Erin Bailey, PMHNPNPI 1932755022
Title
Owner/Provider
Phone
(515) 468-3238

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-2041

Mailing address

5550 Wild Rose LN Ste 400
West Des Moines, IA 50266-2041
Phone (515) 497-0165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230516000983 IA Part B Supplier - Clinic/Group Practice 6800252909 Receives reassigned benefits from 1 practitioner
Practice locations: Lorimor, IA

National Provider Directory

National Provider Directory

Locations

800 4th Ave
Grinnell, IA 50112
Phone (515) 441-7944

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": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1972299683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 WILD ROSE LN STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662041",
            "telephone_number": "515-497-0165",
            "fax_number": "515-655-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 WILD ROSE LN STE 400",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662041",
            "telephone_number": "515-468-3238",
            "fax_number": "515-655-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "515-468-3238",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.