NPIMap

Organization Active NPI

Inner Pathways PLLC

  • Mental Health Counselor
  • Erlanger, KY
National Provider Identifier
1225196181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
50510000 Issued in KY
Legal business name
INNER PATHWAYS PLLC
Practice address
29 Erlanger Road
Erlanger, KY 41018
Phone
(859) 342-6552
Fax
(859) 342-6554
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. K L Martin
Title
Member Inner Pathways PLLC
Phone
(859) 342-6552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 50510000 KY Primary

Addresses

Primary practice location

29 Erlanger Road
Erlanger, KY 41018

Mailing address

29 Erlanger Road
Erlanger, KY 41018
Phone (859) 342-6552

Other identifiers 1

IdentifierTypeStateIssuer
78901204MedicaidKY

National Provider Directory

National Provider Directory

Locations

29 Erlanger Rd
Erlanger, KY 41018
Phone (859) 342-6552

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225196181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ERLANGER ROAD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-342-6552",
            "fax_number": "859-342-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ERLANGER ROAD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-342-6552",
            "fax_number": "859-342-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PATHWAYS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER  INNER PATHWAYS PLLC",
        "authorized_official_telephone_number": "859-342-6552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "50510000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901204",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erlanger, KY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.