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AUTHENTIC JOURNEY, PLLC
NPI 1972342129
Social Worker - Clinical in Oswego, IL

Active since May 20, 2024
113 MAIN ST STE 301, OSWEGO, IL 60543(630) 631-2354(331) 999-3699 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Authentic Journey, Pllc NPPES

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

AUTHENTIC JOURNEY, PLLC (NPI 1972342129) is a healthcare organization registered as a clinical in Oswego, Illinois and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Oswego and lists Heather Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1972342129
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC JOURNEY, PLLC
Location Address113 MAIN ST STE 301Oswego, IL 60543-1264
Mailing Address113 Main St Ste 301Oswego, IL 60543-1264 · (630) 631-2354
Phone(630) 631-2354
Fax(331) 999-3699
Organization SubpartNo
Authorized OfficialHeather JohnsonOwner · (630) 631-2354
Enumeration DateMay 20, 2024
Last NPPES UpdateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1972342129 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.
113 MAIN ST STE 301, Oswego, IL 60543
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Secondary Practice Location 1

Location 164 Main StOswego, IL 60543-9893 · Phone (630) 631-2354 · Fax (331) 999-3699

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)

Authentic Journey, Pllc 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 Authentic Journey, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heather Johnson, LCSW
Clinical Social Worker
NPI 1902208929
113 MAIN ST STE 301
Oswego, IL 60543
(630) 631-2354
✔ PECOS✔ Accepts MedicareSame 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 Authentic Journey, PLLC's NPI number?

The NPI number for Authentic Journey, PLLC is 1972342129. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Authentic Journey, PLLC located?

Authentic Journey, PLLC is located at 113 Main St Ste 301, Oswego, IL 60543. The listed phone number is (630) 631-2354.

What is Authentic Journey, PLLC's specialty?

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

Is Authentic Journey, PLLC enrolled in Medicare?

Yes. Authentic Journey, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Authentic Journey, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Authentic Journey, PLLC. 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 Authentic Journey, PLLC was last updated on August 23, 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.