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JOURNEY RESOURCE CENTER LLC
NPI 1033510391
Counselor - Professional in Tupelo, MS

Active since September 05, 2014
2164 SOUTHRIDGE DR, TUPELO, MS 38801(660) 760-0115(662) 596-0428 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Journey Resource Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOURNEY RESOURCE CENTER LLC (NPI 1033510391), doing business as The Journey Resource Center, is a healthcare organization registered as a professional in Tupelo, Mississippi and active in the NPI registry since September 2014. The organization lists Kimberly A Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1033510391
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJOURNEY RESOURCE CENTER LLC
Location Address2164 SOUTHRIDGE DRTupelo, MS 38801-6417
Mailing Address238 County Road 2446Guntown, MS 38849-9106 · (662) 760-0115 · Fax (662) 596-0428
Phone(660) 760-0115
Fax(662) 596-0428
Organization SubpartNo
Authorized OfficialKimberly A KellyOwner · (662) 760-0115
Enumeration DateSeptember 5, 2014
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1033510391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1923
2164 SOUTHRIDGE DR, Tupelo, MS 38801
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Other Names 1

Doing Business AsThe Journey Resource Center

Other Identifiers 1

Other1923MS · Counselor

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Journey Resource Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Journey Resource Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kimberly Kelly, L.P.C
Mental Health Counselor
NPI 1992944870
2164 SOUTHRIDGE DR
Tupelo, MS 38801
(662) 760-0115
✔ PECOS✔ Accepts MedicareSame address
Raven Traylor, LMSW
Clinical Social Worker
NPI 1538616438
2434 S EASON BLVD
Tupelo, MS 38804
(662) 640-4595
✔ PECOS6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Journey Resource Center LLC's NPI number?

The NPI number for Journey Resource Center LLC is 1033510391. It was assigned to this organization in the NPPES registry on September 5, 2014. The provider is doing business as The Journey Resource Center.

Where is Journey Resource Center LLC located?

Journey Resource Center LLC is located at 2164 Southridge Dr, Tupelo, MS 38801. The listed phone number is (660) 760-0115.

What is Journey Resource Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Journey Resource Center LLC enrolled in Medicare?

Yes. Journey Resource Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Journey Resource Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Journey Resource Center LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Journey Resource Center LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.