Active NPI
Pathways to Life, Inc
- Mental Health Counselor
- Sumter, SC
National Provider Identifier
1164827408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PATHWAYS TO LIFE, INC
- Practice address
- 1155 N Guignard Dr
Suite 5
Sumter, SC 29150-1515 - Phone
- (252) 695-0269
- Fax
- (252) 413-0526
- NPI assigned
- Oct 29, 2014
- Last updated
- Aug 2, 2016
- 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
- Ontario Lamont Chappell
- Title
- Ceo
- Phone
- (252) 695-0269
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1155 N Guignard Dr
Suite 5
Sumter, SC 29150-1515
Mailing address
1200 E Fire Tower Rd
Greenville, NC 27858-4196
Phone (252) 695-0269
National Provider Directory
National Provider DirectoryLocations
1155 N Guignard Dr
Ste 5
Sumter, SC 29150
Phone (252) 695-0269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470096000000",
"number": "1164827408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E FIRE TOWER RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584196",
"telephone_number": "252-695-0269",
"fax_number": "252-413-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N GUIGNARD DR",
"address_2": "SUITE 5",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501515",
"telephone_number": "252-695-0269",
"fax_number": "252-413-0526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS TO LIFE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-29",
"last_updated": "2016-08-02",
"status": "A",
"authorized_official_last_name": "CHAPPELL",
"authorized_official_first_name": "ONTARIO",
"authorized_official_middle_name": "LAMONT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-695-0269"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.