Active NPI
Pathways Mental Health LLC
- Professional Counselor
- Greenwood, AR
National Provider Identifier
1225878309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2024
- 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
- Jacrall Wilson, LPC
- Title
- LPC
- Phone
- (479) 675-6997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.