SAJOURNEY
NPI 1023625894
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Ellisville, MS
NPI Status: Active since September 25, 2020
Contact Information
7 JONATHAN WAY
ELLISVILLE, MS
ZIP 39437
Phone: (817) 473-1312
Fax: (866) 990-2813
- Organization
- Clinical Nurse Specialist
- Psychiatric/Mental Health, Child & Adole...
About SAJOURNEY
This page provides the complete NPI Profile along with additional information for Sajourney, a provider established in Ellisville, Mississippi operating as a Clinical Nurse Specialist, focusing in psychiatric/mental health, child & adolescent . The healthcare provider is registered in the NPI registry with number 1023625894 assigned on September 2020. The practitioner's primary taxonomy code is 364SP0807X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Sajourney operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sajourney. The authorized official of this NPI record is Zemelda D. Carr (Adm)
- NPI
- 1023625894
- Provider Legal Name
- DESTINATION LIFE LLC-S
- Other Organization Name
- SAJOURNEY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7 JONATHAN WAY ELLISVILLE, MS 39437
- Location Phone
- (817) 473-1312
- Location Fax
- (866) 990-2813
- Mailing Address
- 2001 SE GREEN OAK BLVD STE 130 ARLINGTON, TX 76018
- Mailing Phone
- (817) 473-1312
- Mailing Fax
- (866) 990-2813
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-25-2020
- Last Update Date
- 07-30-2021
- Code Navigator
A Clinical Nurse Specialist (CNS) like Sajourney is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Secondary Locations
- 1759 Broad Park Cir S Ste 113
Mansfield, TX 76063
(817) 473-1312
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent
- Taxonomy Code
- 364SP0807X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 163WP0807X | Nursing Service Providers | Registered Nurse | |
| 3 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 4 | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 5 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | |
| 7 | 291U00000X | Laboratories | Clinical Medical Laboratory | |
| 8 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 363LC1500X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 10 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 11 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 12 | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 13 | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | |
| 14 | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03320311 | MEDICAID (05) | MS | |
| 1C5803 | OTHER (01) | TX | GROUP |
| 25D2200016 | OTHER (01) | MS | CLIA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 6 | 2 | 5 | 8 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 2 | 10 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 2 + 1 + 0 + 8 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1023625894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023625894, enumerated as an "organization" on September 25, 2020.
The provider is located at 7 JONATHAN WAY ELLISVILLE, MS 39437 and the phone number is (817) 473-1312.
Clinical Nurse Specialist with taxonomy code 364SP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
