1. Home
  2. Directory
  3. Ohio
  4. Sidney
  5. Social Worker
  6. NPI Profile

JOURNEY 4 SELF LLC
NPI 1720560907
Social Worker - Clinical in Sidney, OH

Active since September 04, 2018
121 E NORTH ST, SIDNEY, OH 45365(973) 902-2183(937) 963-0932 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2020, Sep 4, 2018 (2 updates tracked since 2018).

About Journey 4 Self Llc NPPES

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

JOURNEY 4 SELF LLC (NPI 1720560907) is a healthcare organization registered as a clinical in Sidney, Ohio and active in the NPI registry since September 2018. The organization lists Mary Jean Carpenter, Owner, as its authorized official.

NPPES Registry Identity

NPI1720560907
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJOURNEY 4 SELF LLC
Location Address121 E NORTH STSidney, OH 45365-2709
Mailing Address2338 Aldrin DrSidney, OH 45365-1510 · (937) 902-2183
Phone(973) 902-2183
Fax(937) 963-0932
Organization SubpartNo
Authorized OfficialMary Jean CarpenterOwner · (937) 902-2183
Enumeration DateSeptember 4, 2018
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1720560907 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.
121 E NORTH ST, Sidney, OH 45365
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 4 Self Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Journey 4 Self LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mary Jean Carpenter, LISW, MSW
Clinical Social Worker
NPI 1750881660
2338 ALDRIN DR
Sidney, OH 45365
(937) 902-2183
✔ PECOS✔ Accepts Medicare1.8 mi
Mandi Croft
Marriage and Family Therapist
NPI 1548031701
121 E NORTH ST
Sidney, OH 45365
(937) 507-2797
✔ PECOS7.6 mi
Mindy Brumley
Certified Clinical Nurse Specialist (CNS)
NPI 1205670080
2031 BELMONT AVE
Youngstown, OH 44505
(330) 480-3605
✔ PECOS✔ Accepts Medicare192 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 4 Self LLC's NPI number?

The NPI number for Journey 4 Self LLC is 1720560907. It was assigned to this organization in the NPPES registry on September 4, 2018.

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 (973) 902-2183.

What is Journey 4 Self LLC's specialty?

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

Is Journey 4 Self LLC enrolled in Medicare?

Yes. Journey 4 Self LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Journey 4 Self LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Journey 4 Self LLC, in Certified Clinical Nurse Specialist (CNS), Clinical Social Worker and Marriage and Family Therapist. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Journey 4 Self LLC accept?

Health plans from Anthem Blue Cross and Blue Shield 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.