NPIMap

Organization Active NPI

Paths to Wellness

  • Addiction (Substance Use Disorder) Counselor
  • Simpsonville, SC
National Provider Identifier
1396152575
Registry record updated Jul 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5580 Issued in SC
Legal business name
PATHS TO WELLNESS
Practice address
305 Hudders Creek Way
Simpsonville, SC 29680-3566
Phone
(864) 293-1406
Fax
(864) 757-9329
NPI assigned
Jul 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2014

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

Authorized official

Name
Mrs. Stacy Yvonne Wright, LBSW, M.ED., LPC
Title
Clinical Director
Phone
(864) 293-1406

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 5580 SC
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 5580 SC Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5580 SC
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X 29013 SC
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 7318 SC
Case Management Agency 251B00000X 7318 SC
Community/Behavioral Health Agency 251S00000X 5580 SC

Addresses

Primary practice location

305 Hudders Creek Way
Simpsonville, SC 29680-3566

Mailing address

305 Hudders Creek Way
Simpsonville, SC 29680-3566
Phone (864) 293-1406

Other identifiers 1

IdentifierTypeStateIssuer
EX1269MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405728000000",
    "number": "1396152575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HUDDERS CREEK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803566",
            "telephone_number": "864-293-1406",
            "fax_number": "864-757-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HUDDERS CREEK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803566",
            "telephone_number": "864-293-1406",
            "fax_number": "864-757-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHS TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2014-07-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "864-293-1406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW, M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "SC",
            "license": "5580",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "5580",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5580",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "SC",
            "license": "29013",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "SC",
            "license": "7318",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SC",
            "license": "7318",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1269",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.