Healthcare Provider Details

I. General information

NPI: 1558826255
Provider Name (Legal Business Name): JOURNEY INSPIRED COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19590 E MAINSTREET STE 202
PARKER CO
80138-7371
US

IV. Provider business mailing address

318 N IRVINGTON ST
AURORA CO
80018-1675
US

V. Phone/Fax

Practice location:
  • Phone: 303-895-0635
  • Fax:
Mailing address:
  • Phone: 303-895-0635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA JOINER
Title or Position: OWNER/THERAPIST
Credential: LCSW, LAC, SAP
Phone: 303-895-0635