Organization Active NPI

Pathways Counseling Center Inc.

  • Mental Health Counselor
  • Pompton Lakes, NJ
National Provider Identifier
1366509739
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
111140104 Issued in NJ
Legal business name
PATHWAYS COUNSELING CENTER INC.
Practice address
16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone
(973) 835-6337
Fax
(973) 616-4688
NPI assigned
Jan 3, 2007
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mr. Arthur McEwen
Title
Board Vice Chairman
Phone
(973) 835-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 111140104 NJ Primary

Addresses

Primary practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Mailing address

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 835-6337

Other identifiers 1

IdentifierTypeStateIssuer
0063681MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091106000316 NJ Part B Supplier - Clinic/Group Practice 6507904828 Receives reassigned benefits from 3 practitioners
Practice locations: Pompton Lakes, NJ

National Provider Directory

National Provider Directory
Tax ID family
Pathways Counseling Ctr Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1366509739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "BOARD VICE CHAIRMAN",
        "authorized_official_telephone_number": "973-835-6337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "111140104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063681",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.