JOURNEY MENTAL HEALTH CENTER, INC. (NPI# 1093911257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093911257 |
| Entity Type | Organization |
| Organization Name | JOURNEY MENTAL HEALTH CENTER, INC. |
| Practice Address |
1320 Mendota St Ste 120 Madison WI 53714-1096 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-08-05 |
| Authorized Official Name | KAREN NEITZEL (ASSOCIATE DIRECTOR OF BUSINESS DEVE) |
| Authorized Official Telephone | 6082802695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43422200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497207054 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 322 Dewitt St, Portage, WI 53901-2114 | 2016-10-31 |
| 1174720809 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 2000 Fordem Ave, Madison, WI 53704-4600 | 2007-06-27 |
| 1629275359 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 702 W Main St, Madison, WI 53715-1424 | 2007-06-27 |
| 1063619799 | Journey Mental Health Center, Inc. | Community/Behavioral Health | 802 E Gorham St, Madison, WI 53703-1524 | 2007-06-27 |
| 1841413879 | Journey Mental Health Center, Inc. | Case Management | 49 Kessel Ct, Suite 49, Madison, WI 53711-6275 | 2007-04-10 |
| Street Address |
1320 MENDOTA ST STE 120 |
| City | MADISON |
| State | WI |
| Zip Code | 53714-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107418 | Henning Von Bauer | Social Worker | 1320 Mendota St, Ste 106 Props, Madison, WI 53714-1096 | 2006-07-18 |
| 1891286282 | Cassandra J Merboth | Case Manager/Care Coordinator | 1320 Mendota St, Madison, WI 53714-1096 | 2018-05-22 |
| 1689179186 | Lisa Marie Hoffman | Social Worker | 1320 Mendota St, Madison, WI 53714-1096 | 2018-03-27 |
| 1508314915 | Carlos Ramos Ortolaza | Counselor | 1320 Mendota St, Madison, WI 53714-1096 | 2016-09-14 |
| 1639522162 | Brittany Kislow | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-07-20 |
| 1699138354 | Gretchen Patrisio | Social Worker | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-03-31 |
| 1194185538 | Ya Mee Swartz | Social Worker | 1320 Mendota St, Suite 120, Madison, WI 53714-1096 | 2016-02-27 |
| 1326406414 | Kaylin Ann Shampo | Counselor | 1320 Mendota St, Ste 120, Madison, WI 53714-1096 | 2016-02-03 |
| 1699131151 | Full Home Health Services LLC | Home Health | 1320 Mendota St, Suite 110, Madison, WI 53714-1096 | 2016-01-13 |
| 1316303688 | Genuine Personal Care Services | Skilled Nursing Facility | 1320 Mendota St, Suite 110, Madison, WI 53714-1096 | 2016-01-02 |
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|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1154838399 | Leslie Smith Lpc LLC | Community/Behavioral Health | 650 Sun Temple Dr, Madison, AL 35758-8621 | 2018-01-09 |
| 1497268817 | Imagine A Childs Capacity LLC | Community/Behavioral Health | 128 E Olin Ave Ste 201, Madison, WI 53713-1467 | 2017-11-07 |
| 1316464191 | Shore Wellness Ct | Community/Behavioral Health | 85b Wall St, Madison, CT 06443-3121 | 2017-08-23 |
| 1407302532 | Aba Steps LLC | Community/Behavioral Health | 3 Niles Ave, Madison, NJ 07940-2310 | 2016-08-29 |
| 1245786680 | Michelle Ayres, Ms, Lmft | Community/Behavioral Health | 111 S 1st St # 103, Madison, WI 53704-5244 | 2016-08-26 |
| 1124471412 | Lifeworks Counseling | Community/Behavioral Health | 940 Ebenezer Blvd., Madison, MS 39110 | 2016-07-21 |
| 1184078628 | Bridgeway Counseling | Community/Behavioral Health | 540 Hughes Rd Ste 3, Madison, AL 35758-8959 | 2016-04-21 |
| 1588022206 | Moore Counseling Services | Community/Behavioral Health | 808 Nw 3rd St, Madison, SD 57042-2518 | 2016-02-09 |
| 1073988051 | Killebrew Psychological Services, LLC | Community/Behavioral Health | 133 Berry Ln, Madison, MS 39110-8616 | 2015-12-02 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.