A Chosen Path Solutions, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

A CHOSEN PATH SOLUTIONS, LLC

Practice address

4683 Betts Dr Ste 403
Grand Prairie, TX 75052-1807

Phone

(972) 890-6101

NPI assigned

May 18, 2021

Organization subpart

Yes

Parent organization

A CHOSEN PATH COUNSELING AND CONSULTING SERVICES, PLLCAs reported in NPPES

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

Authorized official

Name

Kenisha Rotibi, LCSW-S

Title

Clinical Director

Phone

(972) 890-6101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Chosen Path Counseling and Consulting Other name

Part of

A Chosen Path Counseling

Locations

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1215501705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 BETTS DR STE 403",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4683 BETTS DR STE 403",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521807",
            "telephone_number": "972-890-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHOSEN PATH SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A CHOSEN PATH COUNSELING AND CONSULTING SERVICES, PLLC",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "ROTIBI",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "972-890-6101",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679029136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Chosen Path Counseling and Consulting",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Grand Prairie, TX
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.