Organization Active NPI

Guided Path Counseling, LLC

  • Professional Counselor
  • Sheboygan Falls, WI
National Provider Identifier
1487052494
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4834-125 Issued in WI
Legal business name
GUIDED PATH COUNSELING, LLC
Practice address
641 Monroe St
Suite 111
Sheboygan Falls, WI 53085-1358
Phone
(920) 627-2793
Fax
(920) 550-0014
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Ryan Matthew Groh, LPC, M.A.NPI 1346505021
Title
Owner
Phone
(920) 627-2793

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 4834-125 WI Primary

Addresses

Primary practice location

641 Monroe St
Suite 111
Sheboygan Falls, WI 53085-1358

Mailing address

641 Monroe St
Suite 111
Sheboygan Falls, WI 53085-1358
Phone (920) 627-2793

Other identifiers 1

IdentifierTypeStateIssuer
1346505021MedicaidWI

National Provider Directory

National Provider Directory

Locations

641 Monroe St
Ste 111
Sheboygan Falls, WI 53085
Phone (920) 627-2793

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": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1487052494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MONROE ST",
            "address_2": "SUITE 111",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851358",
            "telephone_number": "920-627-2793",
            "fax_number": "920-550-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MONROE ST",
            "address_2": "SUITE 111",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851358",
            "telephone_number": "920-627-2793",
            "fax_number": "920-550-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "GROH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-627-2793",
        "authorized_official_credential": "LPC, M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4834-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346505021",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.