Path to Healing, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149010806 Issued in IL

Legal business name

PATH TO HEALING, INC.

Practice address

404 N Galena Ave
Suite L10
Dixon, IL 61021-2115

Phone

(815) 288-1235

Fax

(815) 288-0034

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa A Gates, LCSW

Title

Owner/Practitioner

Phone

(815) 288-1235

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1396082087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N GALENA AVE",
            "address_2": "SUITE L10",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212115",
            "telephone_number": "815-288-1235",
            "fax_number": "815-288-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GALENA AVE",
            "address_2": "SUITE L10",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212115",
            "telephone_number": "815-288-1235",
            "fax_number": "815-288-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "815-288-1235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149010806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Pranita Parayao, MD
• Dhruv Patel
• Roshni Patel, DPM
• Shailee Shashi Patel, D.D.S.
• Shashi A Patel, M.D.
• Michelle Pauley, LPC
• Jennifer Payne
• Sarah Ruth Peltier
• Stacey Penaflor
• Christy Sue Perino, MS CCC-SLP

• Community/Behavioral Health Agency in Dixon, IL
• Providers in Dixon, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.