NPIMap

Organization Active NPI

Path to Change, LLC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1467987883
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007009 Issued in GA
Legal business name
PATH TO CHANGE, LLC
Practice address
314 Tribble Gap Rd Ste B
Cumming, GA 30040-2475
Phone
(770) 615-6115
Fax
(678) 403-0334
NPI assigned
Apr 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Authorized official

Name
Heather Cobb, MA LPC
Title
Owner
Phone
(770) 615-6115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 007009 GA Primary

Addresses

Primary practice location

314 Tribble Gap Rd Ste B
Cumming, GA 30040-2475

Mailing address

314 Tribble Gap Rd Ste B
Cumming, GA 30040-2475
Phone (770) 615-6115

National Provider Directory

National Provider Directory

Locations

314 Tribble Gap Rd
Ste B
Cumming, GA 30040
Phone (770) 205-1751

Practitioners & affiliated clinicians

Practitioners 6

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": "1492905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492905600000",
    "number": "1467987883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 TRIBBLE GAP RD STE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402475",
            "telephone_number": "770-615-6115",
            "fax_number": "678-403-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 TRIBBLE GAP RD STE B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402475",
            "telephone_number": "770-615-6115",
            "fax_number": "678-403-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-23",
        "last_updated": "2017-04-23",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-615-6115",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.