Organization Active NPI

Pathway to Change Counseling Services

  • Community/Behavioral Health Agency
  • Puyallup, WA
National Provider Identifier
1003282260
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
603094499 Issued in WA
Legal business name
PATHWAY TO CHANGE COUNSELING SERVICES
Practice address
2223 S Meridian
Puyallup, WA 98371-7503
Phone
(253) 686-1632
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Linda Skinner, MA, LMFTNPI 1982745709
Title
Ceo
Phone
(253) 686-1632

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 603094499 WA Primary

Addresses

Primary practice location

2223 S Meridian
Puyallup, WA 98371-7503

Mailing address

11518 185TH St E
Puyallup, WA 98374-8880
Phone (253) 686-1632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125000738 WA Part B Supplier - Clinic/Group Practice 9537694773 Receives reassigned benefits from 2 practitioners
Practice locations: Puyallup, WA

National Provider Directory

National Provider Directory

Locations

2223 S Meridian
Puyallup, WA 98371
Phone (253) 355-2467

Practitioners & affiliated clinicians

Practitioners 4

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1003282260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 185TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748880",
            "telephone_number": "253-686-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717503",
            "telephone_number": "253-686-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO CHANGE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-686-1632",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "603094499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.