Organization Active NPI

Pathways Therapy, PLLC

  • Clinical Social Worker
  • South Padre Island, TX
National Provider Identifier
1225793326
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 17, 2022

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

Authorized official

Name
Jennifer Pinkerton, LCSW, LCDCNPI 1407357395
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220527000050 TX Part B Supplier - Clinic/Group Practice 9032597331 Receives reassigned benefits from 1 practitioner
Practice locations: South Padre Island, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.