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JOURNEY MENTAL HEALTH CENTER, INC.
NPI 1063619799
Community/Behavioral Health in Madison, WI

Active since June 27, 2007CLIA 52D1103128 · Waiver
802 E GORHAM ST, MADISON, WI 53703(608) 280-2700 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Journey Mental Health Center, Inc. NPPES

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

JOURNEY MENTAL HEALTH CENTER, INC. (NPI 1063619799) is a healthcare organization registered as a community/behavioral health in Madison, Wisconsin and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists David Bertrand, Coo, as its authorized official.

NPPES Registry Identity

NPI1063619799
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJOURNEY MENTAL HEALTH CENTER, INC.
Location Address802 E GORHAM STMadison, WI 53703-1524
Mailing Address25 Kessel Ct, Ste 105Madison, WI 53711-6227
Phone(608) 280-2700
Organization SubpartNo
Authorized OfficialDavid BertrandCoo · (608) 280-2695
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 18, 2023
✔ NPI 1063619799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
802 E GORHAM ST, Madison, WI 53703
Open in Google Maps ↗

Other Identifiers 1

Medicaid42108426WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1103128

Journey Mental Health Center · Madison, WI
Active · expires Aug 2, 2027
CLIA Number52D1103128
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorDr. Karen K. Milner
Laboratory Phone(608) 280-2402
Laboratory LocationJourney Mental Health Center25 Kessel Court Suite 105, Madison, WI 53711
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA MARIE MCCLURG
Counselor
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
ALEXA MADISON KLODD
Case Manager/Care Coordinator
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
PORSHOUA SCARLET LEE
Social Worker
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
NICOLE ROEHL
Case Manager/Care Coordinator
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
TYLER DOUGLAS
Case Manager/Care Coordinator
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 445-3275
HANNAH ELIZABETH FRY
Case Manager/Care Coordinator
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
HLEECHIA LUBBEN
Counselor
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-4700
SHANNON E. BARUTH
Counselor
802 E GORHAM ST
MADISON, WI 53703
Dane County (608) 280-2700

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 Mental Health Center, Inc.'s NPI number?

The NPI number for Journey Mental Health Center, Inc. is 1063619799. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Journey Mental Health Center, Inc. located?

Journey Mental Health Center, Inc. is located at 802 E Gorham St, Madison, WI 53703. The listed phone number is (608) 280-2700.

What is Journey Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Journey Mental Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1103128) is associated with this NPI, valid through August 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Journey Mental Health Center, Inc. was last updated on August 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.