Organization Active NPI

Passageways Counseling, LLC

  • Clinical Psychologist
  • Wexford, PA
National Provider Identifier
1275159329
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PASSAGEWAYS COUNSELING, LLC
Practice address
52 Pine Creek Road
Suite 200
Wexford, PA 15090-9366
Phone
(724) 965-3123
Fax
(878) 999-8197
NPI assigned
Jun 24, 2020
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Jennifer Jo Eldridge, PHDNPI 1376655720
Title
Clinical Psychologist/Owner
Phone
(724) 719-7603

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

52 Pine Creek Road
Suite 200
Wexford, PA 15090-9366

Mailing address

52 Pine Creek Road
Suite 200
Wexford, PA 15090-9366
Phone (724) 965-3123

Other identifiers 1

IdentifierTypeStateIssuer
101231103MedicaidPA

Other names 1

  • Jennifer Eldridge PhD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310000290 PA Part B Supplier - Clinic/Group Practice 9234612110 Receives reassigned benefits from 3 practitioners
Practice locations: Hermitage, PA; Wexford, PA

National Provider Directory

National Provider Directory

Locations

246 N Buhl Farm Dr
Hermitage, PA 16148

52 Pine Creek Rd
Ste 200
Wexford, PA 15090
Phone (412) 616-2283

Practitioners & affiliated clinicians

Practitioners 6

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1275159329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PINE CREEK ROAD",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909366",
            "telephone_number": "724-965-3123",
            "fax_number": "878-999-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PINE CREEK ROAD",
            "address_2": "SUITE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909366",
            "telephone_number": "724-965-3123",
            "fax_number": "878-999-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGEWAYS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-08-21",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "724-719-7603",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101231103",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer Eldridge PhD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.