Organization Active NPI

Pathways Mi Allegan

  • Addiction (Substance Use Disorder) Counselor
  • Allegan, MI
National Provider Identifier
1386096733
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SA0030024 Issued in MI
Legal business name
PATHWAYS MI ALLEGAN
Practice address
213 Hubbard St
Allegan, MI 49010-1320
Phone
(269) 673-1896
Fax
(269) 686-2011
NPI assigned
Jul 11, 2016
Organization subpart
Yes
Parent organization
PATHWAYS MIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Marie Brill
Title
Cfo
Phone
(616) 396-2301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X SA0030024 MI Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

213 Hubbard St
Allegan, MI 49010-1320

Mailing address

213 Hubbard St
Allegan, MI 49010-1320
Phone (269) 673-1896

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1386096733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HUBBARD ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101320",
            "telephone_number": "269-673-1896",
            "fax_number": "269-686-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HUBBARD ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101320",
            "telephone_number": "269-673-1896",
            "fax_number": "269-686-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS MI ALLEGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS MI",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-396-2301"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SA0030024",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.