Pathways LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C4173 Issued in MS

Legal business name

PATHWAYS LLC

Practice address

1301B Harrison Ave
McComb, MS 39648-2829

Phone

(601) 600-2429

Fax

(601) 600-2428

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Bente Hess Johnson, LCSWNPI 1023479854

Title

Sole Member

Phone

(601) 600-2429

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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

• Bente Johnson, LCSW

  • Clinical Social Worker
  • McComb, MS
  • NPI 1023479854
  Medicare reassignment NPD Authorized official
• Amber Marie Martin, LPC

  • Professional Counselor
  • Summit, MS
  • NPI 1821491051
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1104287937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 OLD LIBERTY RD",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396489123",
            "telephone_number": "601-600-2429",
            "fax_number": "601-600-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301B HARRISON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482829",
            "telephone_number": "601-600-2429",
            "fax_number": "601-600-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BENTE",
        "authorized_official_middle_name": "HESS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "601-600-2429",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C4173",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Clinic of Southwest Mississippi
• Madelaine Carol Palen, PT, DPT
• Pamela S Smithie DMD PA
• Jennifer Paredes
• Donald Eugene Parker, DDS
• Patricia Artigues LCSW, PLLC
• Christy Patterson
• Lloyd Paul
• Edgar Pearson III
• Steven A Pearson, PHARMD, CDE

• Clinical Social Worker in McComb, MS
• Providers in McComb, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.