Organization Active NPI

Pathways Counseling Clinic

  • Professional Counselor
  • Locust Grove, GA
National Provider Identifier
1093189664
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005591 Issued in GA
Legal business name
PATHWAYS COUNSELING CLINIC
Practice address
211 Peeksville Rd
Locust Grove, GA 30248-3138
Phone
(770) 826-9277
Fax
(855) 728-4997
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mr. Arless Richey Lewis, LPCNPI 1760532196
Title
Owner/Clinical Director
Phone
(770) 826-9277

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
Professional Counselor 101YP2500X 005591 GA Primary

Addresses

Primary practice location

211 Peeksville Rd
Locust Grove, GA 30248-3138

Mailing address

PO Box 1101
Locust Grove, GA 30248-1101
Phone (770) 826-9277

National Provider Directory

National Provider Directory

Locations

211 Peeksville Rd
Locust Grove, GA 30248
Phone (770) 826-9277

Practitioners & affiliated clinicians

Practitioners 2

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1093189664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302481101",
            "telephone_number": "770-826-9277",
            "fax_number": "855-728-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PEEKSVILLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483138",
            "telephone_number": "770-826-9277",
            "fax_number": "855-728-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ARLESS",
        "authorized_official_middle_name": "RICHEY",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-826-9277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.