Active NPI
Pathways Counseling Clinic
- Professional Counselor
- Locust Grove, GA
National Provider Identifier
1093189664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005591
- 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, 2015
- 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
- Mr. Arless Richey Lewis, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Locust Grove, GA
- NPI 1760532196
-
- Professional Counselor
- Locust Grove, GA
- NPI 1275042152
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.