Active NPI
Pathways Therapy, PLLC
- Clinical Social Worker
- South Padre Island, TX
National Provider Identifier
1225793326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PATHWAYS THERAPY, PLLC
- Practice address
- 1700 Padre Blvd Ste B
South Padre Island, TX 78597-6730 - Phone
- (956) 592-0446
- NPI assigned
- Nov 3, 2021
- 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
- Jennifer Pinkerton, LCSW, LCDC
- Title
- Ceo/General Manager
- Phone
- (956) 592-0446
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1700 Padre Blvd Ste B
South Padre Island, TX 78597-6730
Mailing address
102 Wild Olive
Laguna Vista, TX 78578-2924
Phone (956) 592-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1700 Padre Blvd
Ste B
South Padre Island, TX 78597
Phone (956) 592-0446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- South Padre Island, TX
- NPI 1407357395
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1225793326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WILD OLIVE",
"city": "LAGUNA VISTA",
"state": "TX",
"postal_code": "785782924",
"telephone_number": "956-592-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 PADRE BLVD STE B",
"city": "SOUTH PADRE ISLAND",
"state": "TX",
"postal_code": "785976730",
"telephone_number": "956-592-0446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "PINKERTON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CEO/GENERAL MANAGER",
"authorized_official_telephone_number": "956-592-0446",
"authorized_official_credential": "LCSW, LCDC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Padre Island, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.