Active NPI
Pathways Counseling Associates, Inc.
- Clinical Social Worker
- Lowell, MA
National Provider Identifier
1124126982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PATHWAYS COUNSELING ASSOCIATES, INC.
- Practice address
- 704 Rogers St
Lowell, MA 01852-4338 - Phone
- (978) 937-2696
- Fax
- (978) 970-2922
- NPI assigned
- Sep 20, 2006
- 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
- Allan Neil Anderson, L.I.C.S.W.
- Title
- President
- Phone
- (978) 937-2696
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
704 Rogers St
Lowell, MA 01852-4338
Mailing address
704 Rogers St
Lowell, MA 01852-4338
Phone (978) 937-2696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601713 | Other | MA | TUFTS HEALTH PLANS |
| P10264 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040806000663 | MA | Part B Supplier - Clinic/Group Practice | 8527030907 |
Receives reassigned benefits from 2 practitioners Practice locations: Lowell, MA |
National Provider Directory
National Provider DirectoryLocations
134 Middle St
Ste 340
Lowell, MA 01852
Phone (978) 937-2696
704 Rogers St
Lowell, MA 01852
Phone (978) 937-2696
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124126982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 ROGERS ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524338",
"telephone_number": "978-937-2696",
"fax_number": "978-970-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 ROGERS ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524338",
"telephone_number": "978-937-2696",
"fax_number": "978-970-2922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS COUNSELING ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-937-2696",
"authorized_official_credential": "L.I.C.S.W."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "601713",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P10264",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.