Active NPI
A Pathway 2 Healing, LLC
- Community/Behavioral Health Agency
- Roanoke, VA
National Provider Identifier
1083327431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- A PATHWAY 2 HEALING, LLC
- Practice address
- 5112 Woodbury St NW
Roanoke, VA 24012-1702 - Phone
- (920) 559-8512
- NPI assigned
- Dec 30, 2022
- Last updated
- Dec 30, 2022
- 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
- Jeanna Grahl, LPC
- Title
- Owner/Manager
- Phone
- (920) 559-8512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
5112 Woodbury St NW
Roanoke, VA 24012-1702
Mailing address
5112 Woodbury St NW
Roanoke, VA 24012-1702
Phone (920) 559-8512
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Green Bay, WI
- NPI 1528034345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672358400000",
"number": "1083327431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 WOODBURY ST NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121702",
"telephone_number": "920-559-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5112 WOODBURY ST NW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240121702",
"telephone_number": "920-559-8512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PATHWAY 2 HEALING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-30",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A",
"authorized_official_last_name": "GRAHL",
"authorized_official_first_name": "JEANNA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "920-559-8512",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.