JOURNEY 4 SELF LLC
NPI 1215796933
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sidney, OH

Active since March 15, 2024CLIA 36D2268902 · Waiver
121 E NORTH ST, SIDNEY, OH 45365(937) 902-2183(937) 902-2183 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Journey 4 Self Llc NPPES

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

JOURNEY 4 SELF LLC (NPI 1215796933) is a healthcare organization registered as a mental health (including community mental health center) in Sidney, Ohio and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Mary Jean Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1215796933
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJOURNEY 4 SELF LLC
Location Address121 E NORTH STSidney, OH 45365-2709
Mailing Address2338 Aldrin DrSidney, OH 45365-1510 · (937) 902-2183 · Fax (937) 902-2183
Fax(937) 902-2183
Organization SubpartNo
Authorized OfficialMary Jean CarpenterOwner · (937) 902-2183
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1215796933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
121 E NORTH ST, Sidney, OH 45365

Accepted Insurance

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 36D2268902

Journey 4 Self, LLC · Sidney, OH
Active · expires Sep 18, 2026
CLIA Number36D2268902
Laboratory TypeMh/Addiction Svcs
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorDawn E. Griffith
Laboratory Phone(937) 902-2183
Laboratory LocationJourney 4 Self, LLC121 E North Street, Sidney, OH 45365
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Social Worker
121 E NORTH ST
SIDNEY, OH 45365
Social Worker
121 E NORTH ST
SIDNEY, OH 45365
Clinic/Center (Mental Health (Including Community Mental Health Center))
121 E NORTH ST
SIDNEY, OH 45365
Case Manager/Care Coordinator
121 E NORTH ST
SIDNEY, OH 45365
Marriage & Family Therapist
121 E NORTH ST
SIDNEY, OH 45365
Social Worker (Clinical)
121 E NORTH ST
SIDNEY, OH 45365

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 4 Self LLC's NPI number?

The NPI number for Journey 4 Self LLC is 1215796933. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Journey 4 Self LLC located?

Journey 4 Self LLC is located at 121 E North St, Sidney, OH 45365. The listed phone number is (937) 902-2183.

What is Journey 4 Self LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Journey 4 Self LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2268902) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Journey 4 Self LLC accept?

Health plans from Molina Healthcare list Journey 4 Self LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Journey 4 Self LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.