JOURNEY THERAPY, LLC
NPI 1477164895
Psychologist - Clinical in Elizabethtown, PA

Q: What is Journey Therapy, LLC's NPI number?

The NPI number for Journey Therapy, LLC is 1477164895. It was assigned to this organization in the NPPES registry on August 10, 2020.

Q: What is Journey Therapy, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 10, 2020

40 PHEASANT CT, ELIZABETHTOWN, PA 17022(717) 964-8897 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 2, 2021, Aug 10, 2020 (2 updates tracked since 2020).

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About Journey Therapy, Llc NPPES

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

JOURNEY THERAPY, LLC (NPI 1477164895) is a healthcare organization registered as a clinical in Elizabethtown, Pennsylvania and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Manheim and lists Tegan Blackbird, Owner, as its authorized official.

NPPES Registry Identity

NPI1477164895

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJOURNEY THERAPY, LLC

Location Address40 PHEASANT CTElizabethtown, PA 17022-9206

Mailing Address40 Pheasant CtElizabethtown, PA 17022-9206

Phone(717) 964-8897

Organization SubpartNo

Authorized OfficialTegan BlackbirdOwner · (717) 964-8897

Enumeration DateAugust 10, 2020

Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1477164895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

40 PHEASANT CT, Elizabethtown, PA 17022

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Secondary Practice Location 1

Location 1108 S Main StManheim, PA 17545-1602 · Phone (717) 964-8897

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 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 Journey Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tegan Blackbird, PH D

Clinical Psychologist

NPI 1841211026

108 S MAIN ST
Manheim, PA 17545

(717) 964-8897

✔ PECOS✔ Accepts Medicare9.6 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 Therapy, LLC's NPI number?

The NPI number for Journey Therapy, LLC is 1477164895. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Journey Therapy, LLC located?

Journey Therapy, LLC is located at 40 Pheasant Ct, Elizabethtown, PA 17022. The listed phone number is (717) 964-8897.

What is Journey Therapy, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Journey Therapy, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Journey Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to 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 Journey Therapy, LLC was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.