INFINITE JOURNEY, LLC (NPI# 1598212326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598212326 |
| Entity Type | Organization |
| Organization Name | INFINITE JOURNEY, LLC |
| Practice Address |
9910 Dupont Circle Dr E Ste 140 Fort Wayne IN 46825-1617 |
| Mailing Address |
1121 Maxine Dr Fort Wayne IN 46807-2522 |
| Practice Telephone | 2604339273 |
| Mailing Telephone | 2604339273 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | CARMELLA NICOLE O'NEAL (OWNER) |
| Authorized Official Telephone | 2564339273 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 35001854A | IN | Agencies |
| Street Address |
9910 DUPONT CIRCLE DR E STE 140 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780174177 | Chaffee Consulting, Inc. | Social Worker | 9910 Dupont Circle Dr E, Fort Wayne, IN 46825-1617 | 2018-05-11 |
| 1629514849 | Renee Devine | Counselor | 9910 Dupont Circle Dr E, Suite 140, Fort Wayne, IN 46825 | 2017-01-11 |
| 1548711294 | Leah Villavicencio | Counselor | 9910 Dupont Circle Dr E, Suite 140, Fort Wayne, IN 46825-1617 | 2016-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1174163844 | Neighborhood Mentoring Academy Inc. | Community/Behavioral Health | 916 E Hawthorne St, Fort Wayne, IN 46806-3144 | 2020-01-10 |
| 1336604883 | Christman Consulting, LLC | Community/Behavioral Health | 1623 Fairhill Rd, Fort Wayne, IN 46808-3026 | 2019-02-08 |
| 1093200214 | Sky Point Social Services | Community/Behavioral Health | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-8934 | 2018-06-29 |
| 1689194615 | A.i.d. Social Services | Community/Behavioral Health | 10323 Dawsons Creek Blvd Ste A, Fort Wayne, IN 46825-1910 | 2017-06-21 |
| 1346601366 | Fort Wayne Clubhouse, Inc | Community/Behavioral Health | 3327 Lake Ave, Fort Wayne, IN 46805-5529 | 2016-03-18 |
| 1871906917 | Springhealth Integrated Care, Inc. | Community/Behavioral Health | 4410 Executive Blvd, Fort Wayne, IN 46808-1135 | 2014-06-06 |
| 1154747632 | Gret Machlan LLC | Community/Behavioral Health | 2200 Lake Ave Ste 125, Fort Wayne, IN 46805-5358 | 2014-03-08 |
| 1386905677 | Comprehensive Mental Health Services and Consultin | Community/Behavioral Health | 1517 Kentucky Ave, Fort Wayne, IN 46805-5003 | 2012-06-03 |
| 1982912739 | Whitington Homes & Services for Children and Families, Inc | Community/Behavioral Health | 2423 Fairfield Ave, Fort Wayne, IN 46807-1210 | 2010-09-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on INFINITE JOURNEY, LLC.
| 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.