NPIMap

Organization Active NPI

Inner Pathways LLC

  • Marriage & Family Therapist
  • Fayetteville, NC
National Provider Identifier
1396113775
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1579 Issued in NC
Legal business name
INNER PATHWAYS LLC
Practice address
351 Wagoner Dr Ste 350
Fayetteville, NC 28303-4688
Phone
(910) 644-4584
Fax
(910) 321-8563
NPI assigned
Sep 2, 2015
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Emanuel Rodriguez
Title
Ceo
Phone
(910) 644-4584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1579 NC Primary

Addresses

Primary practice location

351 Wagoner Dr Ste 350
Fayetteville, NC 28303-4688

Mailing address

717 Thrush Dr
Vass, NC 28394-8653
Phone (252) 202-3192

National Provider Directory

National Provider Directory

Locations

351 Wagoner Dr
Ste 324
Fayetteville, NC 28303
Phone (910) 502-3225

Practitioners & affiliated clinicians

Practitioners 3

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": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1396113775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 THRUSH DR",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283948653",
            "telephone_number": "252-202-3192",
            "fax_number": "910-321-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 350",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034688",
            "telephone_number": "910-644-4584",
            "fax_number": "910-321-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-644-4584"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.