Healthcare Provider Details

I. General information

NPI: 1124620281
Provider Name (Legal Business Name): SIMPLE JOURNEE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WASHINGTON ST STE 202
PLAINVILLE MA
02762-2155
US

IV. Provider business mailing address

111 WASHINGTON ST STE 202
PLAINVILLE MA
02762-2155
US

V. Phone/Fax

Practice location:
  • Phone: 781-552-3169
  • Fax: 774-568-3511
Mailing address:
  • Phone: 781-552-3169
  • Fax: 774-568-3511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: FELICIA P RODNEY-OSBOURNE
Title or Position: CEO/CLINICAL DIRECTOR
Credential: MSW/LICSW
Phone: 781-552-3169