Organization Active NPI

Pathways Family Counseling Professional Corporation

Doing business as Tendril Therapy

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1073122156
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PATHWAYS FAMILY COUNSELING PROFESSIONAL CORPORATION
Doing business as
Tendril Therapy
Practice address
11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624
Phone
(760) 652-9680
NPI assigned
Jul 24, 2020
Last updated
Jan 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Authorized official

Name
Robyn Buresh, LMFTNPI 1174960819
Title
Ceo
Phone
(760) 652-9680

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624

Mailing address

11590 W Bernardo CT Ste 230
San Diego, CA 92127-1624
Phone (760) 652-9680

Other identifiers 1

IdentifierTypeStateIssuer
91826OtherCACA BBS

Other names 1

  • Tendril Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

11590 W Bernardo Ct
Ste 230
San Diego, CA 92127
Phone (619) 733-6414

100 E San Marcos Blvd
Ste 400
San Marcos, CA 92069
Phone (760) 415-0085

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705795200000",
    "number": "1073122156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "760-652-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 W BERNARDO CT STE 230",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271624",
            "telephone_number": "760-652-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS FAMILY COUNSELING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A",
        "authorized_official_last_name": "BURESH",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-652-9680",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BBS",
            "identifier": "91826",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendril Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tendril Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.