CREATIVE JOURNEY, LLC (NPI# 1831607910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831607910 |
| Entity Type | Organization |
| Organization Name | CREATIVE JOURNEY, LLC |
| Other Organization Name | JOURNEY BEHAVIORAL SOLUTIONS, LLC |
| Practice Address |
429 2nd St Sw Ste 205 Jamestown ND 58401 |
| Mailing Address |
419 5th St Ne # 14b Jamestown ND 58401-3318 |
| Practice Telephone | 7016589032 |
| Mailing Telephone | 7016589032 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | MS. SHAULEE AHLERS IVERSON (COO/ADMINISTRATOR) |
| Authorized Official Telephone | 7016589032 |
| Authorized Official Credential | MS OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Journey Behavioral Solutions, LLC | Former Legal Business Name - Organization |
| Street Address |
429 2ND ST SW STE 205 |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| 1417153115 | James Michael Ukestad | Dentist | 1209 Fifth Avenue Southeast, Jamestown, ND 58401 | 2007-06-21 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225075906 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225542988 | Rural Cass Special Services | Clinic/Center | 55 1st Ave S, Kindred, ND 58051-4027 | 2017-11-16 |
| 1750856761 | Opportunity Foundation Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9065 | 2018-10-05 |
| 1477937258 | Child & Adolescent Psychological Services, Inc. | Clinic/Center | 1705 4th Ave Nw, Minot, ND 58703-2912 | 2015-07-12 |
| 1720413461 | April Wilson-warren Np-c Pllc | Clinic/Center | 315 Main St S Ste 301, Minot, ND 58701-3956 | 2013-09-12 |
| 1891069191 | St. James' of North Dakota, LLC | Clinic/Center | 1007 4th Ave S, Wishek, ND 58495-7527 | 2012-03-05 |
| 1538463401 | St James of Nd, LLC | Clinic/Center | 3000 North 14th Street, Suite 2a, Bismarck, ND 58503 | 2011-01-06 |
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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.