Organization Active NPI

Path to Wellness & Resilience, PLLC

  • Mental Health Counselor
  • Winnabow, NC
National Provider Identifier
1124828587
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATH TO WELLNESS & RESILIENCE, PLLC
Practice address
5231 Soybean Dr NE
Winnabow, NC 28479-5852
Phone
(717) 598-7372
NPI assigned
Mar 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Jessica Fricke, LMFTNPI 1952852840
Title
Owner/Director
Phone
(717) 598-7372

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5231 Soybean Dr NE
Winnabow, NC 28479-5852

Mailing address

5231 Soybean Dr NE
Winnabow, NC 28479-5852
Phone (717) 598-7372

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1124828587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 SOYBEAN DR NE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795852",
            "telephone_number": "717-598-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 SOYBEAN DR NE",
            "city": "WINNABOW",
            "state": "NC",
            "postal_code": "284795852",
            "telephone_number": "717-598-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO WELLNESS & RESILIENCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "717-598-7372",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnabow, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.