NPIMap

Organization Active NPI

Pathways to Life, Inc

  • Counselor
  • Greenville, NC
National Provider Identifier
1467695031
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PATHWAYS TO LIFE, INC
Practice address
1015 Conference Dr
Greenville, NC 27858-5969
Phone
(252) 695-0269
Fax
(252) 413-0526
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Ontario Lamont Chappell
Title
President
Phone
(252) 695-0269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1015 Conference Dr
Greenville, NC 27858-5969

Mailing address

150 E Arlington Blvd Ste E
Greenville, NC 27858-5019
Phone (252) 695-0269

Other identifiers 1

IdentifierTypeStateIssuer
5908990MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pathways to Life Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 E Arlington Blvd
Ste E
Greenville, NC 27858
Phone (252) 551-5544

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1467695031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E ARLINGTON BLVD STE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585019",
            "telephone_number": "252-695-0269",
            "fax_number": "252-413-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585969",
            "telephone_number": "252-695-0269",
            "fax_number": "252-413-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "ONTARIO",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-695-0269"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908990",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.