Organization Active NPI

Healing Pathways Counseling Services, LLC

  • Clinical Social Worker
  • Altamonte Springs, FL
National Provider Identifier
1316424799
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8986 Issued in FL
Legal business name
HEALING PATHWAYS COUNSELING SERVICES, LLC
Practice address
111 Jewel Dr Ste 103
Altamonte Springs, FL 32714-2706
Phone
(407) 312-6014
Fax
(407) 599-5002
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Mrs. Christina Ruth Kuchman, LCSWNPI 1922337773
Title
Therapist/Owner
Phone
(407) 312-6014

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12841 FL
Clinical Social Worker 1041C0700X SW8986 FL Primary

Addresses

Primary practice location

111 Jewel Dr Ste 103
Altamonte Springs, FL 32714-2706

Mailing address

111 Jewel Dr Ste 103
Altamonte Springs, FL 32714-2706
Phone (407) 312-6014

Other identifiers 1

IdentifierTypeStateIssuer
002547200MedicaidFL

National Provider Directory

National Provider Directory

Locations

111 Jewel Dr
Ste 103
Altamonte Springs, FL 32714
Phone (407) 312-6014

Practitioners & affiliated clinicians

Practitioners 1

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1316424799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JEWEL DR STE 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142706",
            "telephone_number": "407-312-6014",
            "fax_number": "407-599-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JEWEL DR STE 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142706",
            "telephone_number": "407-312-6014",
            "fax_number": "407-599-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATHWAYS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "KUCHMAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "407-312-6014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002547200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.