COURAGEOUS JOURNEY PSYCHOLOGICAL SERVICES, LLC
NPI 1821610171
Clinic/Center - Mental Health (Including Community Mental Health Center) in Russellville, AR
About Courageous Journey Psychological Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURAGEOUS JOURNEY PSYCHOLOGICAL SERVICES, LLC (NPI 1821610171) is a healthcare organization registered as a mental health (including community mental health center) in Russellville, Arkansas and active in the NPI registry since May 2020. The organization lists Maggie James, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Courageous Journey Psychological Services, 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 Courageous Journey Psychological Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Courageous Journey Psychological Services, LLC's NPI number?
The NPI number for Courageous Journey Psychological Services, LLC is 1821610171. It was assigned to this organization in the NPPES registry on May 9, 2020.
Where is Courageous Journey Psychological Services, LLC located?
Courageous Journey Psychological Services, LLC is located at 168 Bluefish Ave, Russellville, AR 72802. The listed phone number is (479) 765-1187.
What is Courageous Journey Psychological Services, 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.
Is Courageous Journey Psychological Services, LLC enrolled in Medicare?
Yes. Courageous Journey Psychological Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Courageous Journey Psychological Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Courageous Journey Psychological Services, 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 Courageous Journey Psychological Services, LLC was last updated on May 9, 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.
# Courageous Journey Psychological Services, Llc · NPI 1821610171
Mental Health (Including Community Mental Health Center) organization in Russellville, Arkansas. Organization record, active in the CMS NPPES registry since May 9, 2020.
## Identity
- **NPI:** 1821610171 (Entity type: Organization)
- **Enumerated:** May 9, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Maggie James, OWNER
## Practice location
- **Address:** 168 BLUEFISH AVE, Russellville, AR 72802-2407
- **Phone:** (479) 765-1187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1821610171) · Data from the CMS NPPES public registry.