Organization Active NPI

Pathways Life Counseling LLC

  • Clinical Social Worker
  • Ogdensburg, NY
National Provider Identifier
1063689677
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003261 Issued in NY
Legal business name
PATHWAYS LIFE COUNSELING LLC
Practice address
5428 State Highway 37
Loft Suite 8
Ogdensburg, NY 13669-4211
Phone
(315) 393-5116
Fax
(315) 393-5940
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. Rodger Hicks, MA LMHC
Title
Director
Phone
(315) 393-5116

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 176644 NY
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 015732 NY
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 070198-1 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 003261 NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 057519-1 NY

Addresses

Primary practice location

5428 State Highway 37
Loft Suite 8
Ogdensburg, NY 13669-4211

Mailing address

5428 State Hwy 37
Loft Suite 8
Ogdensburg, NY 13669-4211
Phone (315) 393-5116

National Provider Directory

National Provider Directory

Locations

5428 State Highway 37
Ste 8
Ogdensburg, NY 13669
Phone (315) 393-5116

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1063689677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 STATE HWY 37",
            "address_2": "LOFT SUITE 8",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694211",
            "telephone_number": "315-393-5116",
            "fax_number": "315-393-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 STATE HIGHWAY 37",
            "address_2": "LOFT SUITE 8",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694211",
            "telephone_number": "315-393-5116",
            "fax_number": "315-393-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RODGER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-393-5116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA  LMHC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "176644",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015732",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070198-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "003261",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "057519-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.