Organization Active NPI

Pathways Counseling, LLC

  • Marriage & Family Therapist
  • Newtown, CT
National Provider Identifier
1386913671
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001240 Issued in CT
Legal business name
PATHWAYS COUNSELING, LLC
Practice address
25 Church Hill Rd Ste 201B
Newtown, CT 06470-1646
Phone
(203) 917-8585
Fax
(203) 826-2211
NPI assigned
Dec 15, 2011
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Susan A. Boritz, M.A.NPI 1639328974
Title
Sole Proprietor
Phone
(203) 917-8585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 001240 CT Primary

Addresses

Primary practice location

25 Church Hill Rd Ste 201B
Newtown, CT 06470-1646

Mailing address

401A Heritage VLG
Southbury, CT 06488-5708
Phone (203) 917-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240205001618 CT Part B Supplier - Clinic/Group Practice 0749623924 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, CT

National Provider Directory

National Provider Directory

Locations

25 Church Hill Rd
Ste 201
Newtown, CT 06470
Phone (203) 917-8585

25 Church Hill Rd
Ste 201B
Newtown, CT 06470
Phone (203) 917-8585

111 Church Hill Rd
Ste 305
Sandy Hook, CT 06482

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1386913671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401A HERITAGE VLG",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064885708",
            "telephone_number": "203-917-8585",
            "fax_number": "203-826-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD STE 201B",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701646",
            "telephone_number": "203-917-8585",
            "fax_number": "203-826-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "BORITZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "203-917-8585",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.