Organization Active NPI

Pathways Mental Health LLC

  • Professional Counselor
  • Greenwood, AR
National Provider Identifier
1225878309
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PATHWAYS MENTAL HEALTH LLC
Practice address
16135 Highway 71 S
Greenwood, AR 72936-7218
Phone
(479) 675-6997
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Jacrall Wilson, LPC
Title
LPC
Phone
(479) 675-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

16135 Highway 71 S
Greenwood, AR 72936-7218

Mailing address

16135 Highway 71 S
Greenwood, AR 72936-7218
Phone (479) 675-6997

National Provider Directory

National Provider Directory

Locations

16135 Highway 71 S
Greenwood, AR 72936
Phone (479) 996-5433

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1225878309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16135 HIGHWAY 71 S",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729367218",
            "telephone_number": "479-675-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 HIGHWAY 71 S",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729367218",
            "telephone_number": "479-675-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JACRALL",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "479-675-6997",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.