Active NPI
Pathways Counseling Nwa LLC
- Mental Health Counselor
- Rogers, AR
National Provider Identifier
1013693159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PATHWAYS COUNSELING NWA LLC
- Practice address
- 2106 S 54TH St Ste 3
Rogers, AR 72758-8198 - Phone
- (479) 295-7800
- NPI assigned
- Jun 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Michael Williams, LAC
- Title
- Owner
- Phone
- (479) 295-7800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2106 S 54TH St Ste 3
Rogers, AR 72758-8198
Mailing address
2106 S 54TH St Ste 3
Rogers, AR 72758-8198
Phone (479) 295-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bentonville, AR
- NPI 1477283497
-
- Mental Health Counselor
- Rogers, AR
- NPI 1558055970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1013693159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 S 54TH ST STE 3",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588198",
"telephone_number": "479-295-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 S 54TH ST STE 3",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588198",
"telephone_number": "479-295-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS COUNSELING NWA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-23",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-295-7800",
"authorized_official_credential": "LAC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.