Organization Active NPI

Peaceful Pathways LLC

  • Mental Health Counselor
  • Madison, AL
National Provider Identifier
1235868993
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEACEFUL PATHWAYS LLC
Practice address
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone
(256) 929-5507
Fax
(888) 440-7284
NPI assigned
Jun 8, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Ailu Maciel Barrera Hernandez
Title
Director of Administrative Operatio
Phone
(256) 929-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

120 W Dublin Dr Ste 202
Madison, AL 35758-3157

Mailing address

120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone (256) 929-5507

Other practice location 1

2335 Pansy St SW
Huntsville, AL 35801-3828
Phone (256) 929-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928002281 AL Part B Supplier - Clinic/Group Practice 6709262702 Receives reassigned benefits from 4 practitioners
Practice locations: Madison, AL

National Provider Directory

National Provider Directory
Tax ID family
Adriane M Howard LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1235868993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W DUBLIN DR STE 202",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583157",
            "telephone_number": "256-929-5507",
            "fax_number": "888-440-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W DUBLIN DR STE 202",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583157",
            "telephone_number": "256-929-5507",
            "fax_number": "888-440-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Pansy St SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013828",
            "country_code": "US",
            "telephone_number": "256-929-5507",
            "fax_number": "888-440-7284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEFUL PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "BARRERA HERNANDEZ",
        "authorized_official_first_name": "AILU",
        "authorized_official_middle_name": "MACIEL",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE OPERATIO",
        "authorized_official_telephone_number": "256-929-5507"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

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