NPIMap

Organization Active NPI

The Shepherds New Pathways, LLC

  • Professional Counselor
  • Temple, TX
National Provider Identifier
1356779706
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE SHEPHERDS NEW PATHWAYS, LLC
Practice address
5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone
(254) 228-5830
Fax
(254) 598-2537
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Authorized official

Name
Charles Thielepape
Title
Owner
Phone
(254) 228-5830

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 69113 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 67305 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 201697 TX

Addresses

Primary practice location

5293 S 31St St Ste 137
Temple, TX 76502-3575

Mailing address

5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone (254) 228-5830

Other practice location 1

3003 Dawn Dr Ste 101
Georgetown, TX 78628-2800
Phone (254) 228-5830

Other practice location 2

9105 Adams Ln Unit D
Temple, TX 76502-5946
Phone (254) 228-5830

Other identifiers 2

IdentifierTypeStateIssuer
1356779706OtherTXNPI
409273601MedicaidTX

Other names 1

  • Pathways Group Counseling Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pathwaysgroupcc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909000758 TX Part B Supplier - Clinic/Group Practice 6901135557 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
Practice locations: Cedar Park, TX; Georgetown, TX; Temple, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Shphrd'S New Pthwys 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.

Locations

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

5297 S 31st St
Ste 113
Temple, TX 76502
Phone (254) 228-5830

9105 Adams Ln
Unit D
Temple, TX 76502
Phone (254) 228-5830

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1356779706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Dawn Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282800",
            "country_code": "US",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9105 Adams Ln Unit D",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025946",
            "country_code": "US",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SHEPHERDS NEW PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "THIELEPAPE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-228-5830"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69113",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67305",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356779706",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409273601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pathwaysgroupcc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5293 S 31st St Ste 137",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765023575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pathways Group Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathways Group Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.