Organization Active NPI

Cohesive Pathways, PC

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1003034547
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006238 Issued in NC
Legal business name
COHESIVE PATHWAYS, PC
Practice address
141 Providence Rd Ste 100
Chapel Hill, NC 27514-6219
Phone
(919) 636-5982
NPI assigned
Apr 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Jokich, LCSWNPI 1578789236
Title
President
Phone
(919) 636-5982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C006238 NC Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C004163 NC

Addresses

Primary practice location

141 Providence Rd Ste 100
Chapel Hill, NC 27514-6219

Mailing address

101 Millingport CT
Chapel Hill, NC 27517-7444
Phone (919) 636-5982

Other names 1

  • American Executive Management, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090706000370 NC Part B Supplier - Clinic/Group Practice 7911058854 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

141 Providence Rd
Ste 100
Chapel Hill, NC 27514
Phone (919) 406-7265

3622 Lyckan Pkwy
Ste 4003
Durham, NC 27707
Phone (919) 627-8442

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1003034547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILLINGPORT CT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177444",
            "telephone_number": "919-636-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PROVIDENCE RD STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146219",
            "telephone_number": "919-636-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHESIVE PATHWAYS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "JOKICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-636-5982",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006238",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Executive Management, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "American Executive Management, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.