NPIMap

Organization Active NPI

Your Path Teletherapy

  • Professional Counselor
  • Fort Benning, GA
National Provider Identifier
1447911524
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
YOUR PATH TELETHERAPY
Practice address
7505 Craig Dr
Fort Benning, GA 31905-7905
Phone
(901) 273-7284
NPI assigned
Jan 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Authorized official

Name
Anastasia JarrettNPI 1720478480
Title
Owner
Phone
(931) 273-7284

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7505 Craig Dr
Fort Benning, GA 31905-7905

Mailing address

7505 Craig Dr
Fort Benning, GA 31905-7905
Phone (901) 273-7284

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1447911524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 CRAIG DR",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319057905",
            "telephone_number": "901-273-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 CRAIG DR",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319057905",
            "telephone_number": "901-273-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PATH TELETHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "JARRETT",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-273-7284"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.