Organization Active NPI

Healing Path Clinic LLC

  • Mental Health Counselor
  • Richmond, TX
National Provider Identifier
1073124624
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEALING PATH CLINIC LLC
Practice address
1727 Lake Charlotte LN
Richmond, TX 77406-8096
Phone
(832) 584-4092
Fax
(832) 584-4092
NPI assigned
Aug 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Authorized official

Name
Mr. Odiri AkusheNPI 1023496726
Title
Ceo
Phone
(832) 584-4092

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1727 Lake Charlotte LN
Richmond, TX 77406-8096

Mailing address

1727 Lake Charlotte LN
Richmond, TX 77406-8096
Phone (832) 584-4092

Other identifiers 1

IdentifierTypeStateIssuer
5586010037OtherTXAETNA

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, 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": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1073124624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 LAKE CHARLOTTE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068096",
            "telephone_number": "832-584-4092",
            "fax_number": "832-584-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 LAKE CHARLOTTE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774068096",
            "telephone_number": "832-584-4092",
            "fax_number": "832-584-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "AKUSHE",
        "authorized_official_first_name": "ODIRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-584-4092",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5586010037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.