Pathways to Change, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC 1059 Issued in WY

Legal business name

PATHWAYS TO CHANGE, LLC

Practice address

3211 Energy LN
Suite 206
Casper, WY 82604-2941

Phone

(307) 265-4000

Fax

(307) 265-4000

NPI assigned

Mar 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Heenan, PHD, LPC, LMFT

Title

Co-Owner

Phone

(307) 265-4000

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Harrison, LPC

  • Counselor
  • Casper, WY
  • NPI 1316902588
  NPD (past)

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1093014276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 ENERGY LN",
            "address_2": "SUITE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826042941",
            "telephone_number": "307-265-4000",
            "fax_number": "307-265-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 ENERGY LN",
            "address_2": "SUITE 206",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826042941",
            "telephone_number": "307-265-4000",
            "fax_number": "307-265-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-27",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HEENAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "307-265-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "LPC 1059",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "LPC 1073",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WY",
            "license": "LMFT 139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Jean Parsell, FNP
• Anna C. Parton, NP
• Ronald Keith Parton, R.PH.
• Jaci Patchen
• Pathfinder Physical Therapy, LLC
• Lynsee Patik
• Toni S. Patik, PA-C
• Patricia Masters
• Lucinda Marlene Patterson
• Lily Patton, PCSW

• Community/Behavioral Health Agency in Casper, WY
• Providers in Casper, WY by specialty
• Community/Behavioral Health Agency in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.