Pathway to Serenity

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATHWAY TO SERENITY

Practice address

115 W Front St Unit 8
Perrysburg, OH 43551-1473

Phone

(567) 280-0796

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Shelley Horine, MA, LPCCNPI 1154735678

Title

Ceo/Owner of LLC

Phone

(567) 280-0796

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pathway to Serenity Doing business as

Locations

Practitioners 1

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

• Shelley Horine, LPC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1154735678
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1104439397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W FRONT ST UNIT 8",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511473",
            "telephone_number": "567-280-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W FRONT ST UNIT 8",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511473",
            "telephone_number": "567-280-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "HORINE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CEO/OWNER OF LLC",
        "authorized_official_telephone_number": "567-280-0796",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154735678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway to Serenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edith H Patagundi, LPC
• Bela Patel
• Paresh Patel
• Suketu Naginbhai Patel, MD, MPH
• Gargie Sanjay Pathak, S/OT
• Zachary Patterson
• Dilnoor Kaur Patti, M.D
• Arielle W Patty, LPC
• Lisa M Pawliski, R.PH.
• Katrina Maureen Pedersen

• Mental Health Clinic/Center (Including Community Mental Health Center) in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.