Pathway to Equanimity, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39000112A Issued in IN

Legal business name

PATHWAY TO EQUANIMITY, LLC

Practice address

3905 Vincennes Rd
Ten Fortune Park, Suite 303
Indianapolis, IN 46268-3026

Phone

(317) 471-3522

Fax

(317) 471-3508

NPI assigned

Jan 8, 2011

Last updated

Jan 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Unchana Thamasak, LMHC, LCACNPI 1003102088

Title

Operating Manager

Phone

(317) 371-2373

Specialties & licenses 1

Addresses

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.

• Unchana Thamasak, M.S

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1003102088
  Authorized official Same address or phone

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1093019812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 VINCENNES RD",
            "address_2": "TEN FORTUNE PARK, SUITE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683026",
            "telephone_number": "317-471-3522",
            "fax_number": "317-471-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 VINCENNES RD",
            "address_2": "TEN FORTUNE PARK, SUITE 303",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683026",
            "telephone_number": "317-471-3522",
            "fax_number": "317-471-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO EQUANIMITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "THAMASAK",
        "authorized_official_first_name": "UNCHANA",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "317-371-2373",
        "authorized_official_credential": "LMHC, LCAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathway Counseling and Consulting, LLC
• Pathway Family Center
• Pathway International Incorporated
• Pathway Partners Youth and Development Services
• Pathway Seekers LLC
• Pathways Community Clinic LLC
• Pathways Counseling
• Pathways Healing House
• Pathways Neuro Rehabilitation & Education, LLC
• Pathways Supportive Retreat LLC

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.