HEALING YOUR JOURNEY THERAPY, LLC
NPI 1285111278
Social Worker - Clinical in Mishawaka, IN

Active since July 23, 2018
509 W MCKINLEY AVE STE 3, MISHAWAKA, IN 46545(574) 319-1653(574) 406-7966 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healing Your Journey Therapy, Llc NPPES

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

HEALING YOUR JOURNEY THERAPY, LLC (NPI 1285111278) is a healthcare organization registered as a clinical in Mishawaka, Indiana and active in the NPI registry since July 2018. The organization lists Kimberly Dawn Delcourt, Sole Member/president, as its authorized official.

NPPES Registry Identity

NPI1285111278
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEALING YOUR JOURNEY THERAPY, LLC
Location Address509 W MCKINLEY AVE STE 3Mishawaka, IN 46545-5564
Mailing Address222 Donmoyer AveSouth Bend, IN 46614-1864 · (574) 319-1653 · Fax (574) 406-7966
Fax(574) 406-7966
Organization SubpartNo
Authorized OfficialKimberly Dawn DelcourtSole Member/president · (574) 850-4267
Enumeration DateJuly 23, 2018
✔ NPI 1285111278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34007827A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
509 W MCKINLEY AVE STE 3, Mishawaka, IN 46545

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)

Healing Your Journey Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healing Your Journey Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1285933812
509 W MCKINLEY AVE STE 3
Mishawaka, IN 46545
(574) 254-0229
✔ PECOSSame address

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 Healing Your Journey Therapy, LLC's NPI number?

The NPI number for Healing Your Journey Therapy, LLC is 1285111278. It was assigned to this organization in the NPPES registry on July 23, 2018.

Where is Healing Your Journey Therapy, LLC located?

Healing Your Journey Therapy, LLC is located at 509 W Mckinley Ave Ste 3, Mishawaka, IN 46545. The listed phone number is (574) 319-1653.

What is Healing Your Journey Therapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Healing Your Journey Therapy, LLC enrolled in Medicare?

Yes. Healing Your Journey Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Your Journey Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Healing Your Journey Therapy, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healing Your Journey Therapy, LLC was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.