Active NPI
Life Paths Counseling, LLC
- Clinical Social Worker
- Bloomington, IN
National Provider Identifier
1366883274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005660A
- Legal business name
- LIFE PATHS COUNSELING, LLC
- Practice address
- 101 W Kirkwood Ave Ste 222
Bloomington, IN 47404-6133 - Phone
- (812) 361-1234
- NPI assigned
- Jul 9, 2013
- 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
- Heather M Hudson, LCSW
- Title
- Owner
- Phone
- (812) 361-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005660A | IN | Primary |
Addresses
Primary practice location
101 W Kirkwood Ave Ste 222
Bloomington, IN 47404-6133
Mailing address
101 W Kirkwood Ave Ste 222
Bloomington, IN 47404-6133
Phone (812) 361-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN1464 | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
101 W Kirkwood Ave
Ste 222
Bloomington, IN 47404
Phone (812) 219-1314
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bloomington, IN
- NPI 1740466077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1366883274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W KIRKWOOD AVE STE 222",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474046133",
"telephone_number": "812-361-1234",
"fax_number": "812-676-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W KIRKWOOD AVE STE 222",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474046133",
"telephone_number": "812-361-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE PATHS COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-09",
"last_updated": "2014-12-22",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-361-1234",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005660A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN1464",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.