Organization Active NPI

A Pathway 2 Healing, LLC

  • Community/Behavioral Health Agency
  • Roanoke, VA
National Provider Identifier
1083327431
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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)CodeLicenseStatePrimary
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 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": "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": []
}

Other providers in Roanoke, VA

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.

Verify at the official NPI Registry.