Organization Active NPI

Pathway Counseling Ministry, Inc.

  • Community/Behavioral Health Agency
  • Oviedo, FL
National Provider Identifier
1053561696
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH3981 Issued in FL
Legal business name
PATHWAY COUNSELING MINISTRY, INC.
Practice address
1054 Gould PL
Oviedo, FL 32765-5903
Phone
(407) 366-5656
Fax
(407) 386-6658
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Mr. Charles Afton Wise, MA-LMHC, CLINICAL SUNPI 1568863165
Title
Director
Phone
(407) 366-5656

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 MH3981 FL Primary

Addresses

Primary practice location

1054 Gould PL
Oviedo, FL 32765-5903

Mailing address

1054 Gould PL
Oviedo, FL 32765-5903
Phone (407) 366-5656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1053561696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 GOULD PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655903",
            "telephone_number": "407-366-5656",
            "fax_number": "407-386-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GOULD PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655903",
            "telephone_number": "407-366-5656",
            "fax_number": "407-386-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY COUNSELING MINISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AFTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-366-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA-LMHC, CLINICAL SU"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.