MY JOURNEY, LLC
NPI 1629676093
Social Worker - Clinical in Jacksonville, FL

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

The NPI number for My Journey, LLC is 1629676093. It was assigned to this organization in the NPPES registry on October 16, 2020.

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

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

Q: When was this NPI record last updated?

The NPPES record for My Journey, LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 16, 2020

13453 N MAIN ST STE 204, JACKSONVILLE, FL 32218(718) 916-5421 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2020, Oct 24, 2020, Oct 16, 2020 (3 updates tracked since 2020).

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About My Journey, Llc NPPES

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

MY JOURNEY, LLC (NPI 1629676093) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since October 2020. The organization lists O'neil Richards, Owner, as its authorized official.

NPPES Registry Identity

NPI1629676093

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMY JOURNEY, LLC

Location Address13453 N MAIN ST STE 204Jacksonville, FL 32218-2773

Mailing Address8420 Country Bend Cir EJacksonville, FL 32244-7416 · (718) 916-5421

Phone(718) 916-5421

Organization SubpartNo

Authorized OfficialO'neil RichardsOwner · (718) 916-5421

Enumeration DateOctober 16, 2020

Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1629676093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

13453 N MAIN ST STE 204, Jacksonville, FL 32218

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Other Identifiers 1

Medicaid020326900FL

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)

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

Clinician (1)

O'neil Richards

Clinical Social Worker

NPI 1578952271

8530 AVEBURY CT
Jacksonville, FL 32244

(718) 916-5421

✔ PECOS✔ Accepts Medicare23 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 My Journey, LLC's NPI number?

The NPI number for My Journey, LLC is 1629676093. It was assigned to this organization in the NPPES registry on October 16, 2020.

Where is My Journey, LLC located?

My Journey, LLC is located at 13453 N Main St Ste 204, Jacksonville, FL 32218. The listed phone number is (718) 916-5421.

What is My Journey, LLC's specialty?

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

Is My Journey, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through My Journey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to My Journey, 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 My Journey, LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.