Active NPI
Peaceful Pathways LLC
- Mental Health Counselor
- Madison, AL
National Provider Identifier
1235868993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2022
- 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
- Ailu Maciel Barrera Hernandez
- Title
- Director of Administrative Operatio
- Phone
- (256) 929-5507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Adriane M Howard LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Madison, AL
- NPI 1689304396
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.
-
- Social Worker
- Huntsville, AL
- NPI 1649738907
-
- Clinical Social Worker
- Huntsville, AL
- NPI 1427503382
-
- Clinical Social Worker
- Huntsville, AL
- NPI 1932247616
-
- Clinical Social Worker
- Huntsville, AL
- NPI 1891163390
-
- Clinical Social Worker
- Madison, AL
- NPI 1073552089
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.