Organization Active NPI

Pathways to Life, Inc

Community/Behavioral Health Agency
Greenville, NC

National Provider Identifier

1487956710

Registry record updated Aug 21, 2020

On this page

Key facts
NPPES NPI Registry
National Provider Directory
NPI Registry JSON
Other providers in Greenville, NC
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name: PATHWAYS TO LIFE, INC
Practice address: 1015 Conference Dr
Greenville, NC 27858-5969
Phone: (252) 695-0269
NPI assigned: Nov 18, 2010
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 L Chappell, MS MFT
Title: Ceo
Phone: (252) 347-6455

Specialties & licenses 9

Specialty (taxonomy)	Code	State	Primary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101Y00000X	NC
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YM0800X	NC
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP	101YS0200X	NC
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP	103TC0700X	NC
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	104100000X	NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041C0700X	NC
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP	1041S0200X	NC
Case Management Agency	251B00000X	NC
Community/Behavioral Health Agency	251S00000X	NC	Primary

Addresses

Primary practice location

1015 Conference Dr
Greenville, NC 27858-5969

Mailing address

150 E Arlington Blvd Ste E
Greenville, NC 27858-5019

Other identifiers 38

Identifier	Type	State
6006099	Medicaid	NC
8301656	Medicaid	NC
8302681Q	Medicaid	NC
8303354	Medicaid	NC
8303354H	Medicaid	NC
8303384V	Medicaid	NC
8303539F	Medicaid	NC
8301656B	Medicaid	NC
8301656F	Medicaid	NC
8301656G	Medicaid	NC
8302681R	Medicaid	NC
8303354V	Medicaid	NC
8302681	Medicaid	NC
8303354A	Medicaid	NC
8303374V	Medicaid	NC
8303539V	Medicaid	NC
5908990	Medicaid	NC
8301656V	Medicaid	NC
8303352V	Medicaid	NC
8303354I	Medicaid	NC
8303539	Medicaid	NC
8303551H	Medicaid	NC
8303352F	Medicaid	NC
8303352H	Medicaid	NC
8303539A	Medicaid	NC
8303352	Medicaid	NC
8303352A	Medicaid	NC
8303384	Medicaid	NC
8303384F	Medicaid	NC
8301656H	Medicaid	NC
8303352G	Medicaid	NC
8303354F	Medicaid	NC
8303374	Medicaid	NC
8303374A	Medicaid	NC
8303374H	Medicaid	NC
8303384H	Medicaid	NC
8303551	Medicaid	NC
8303592R	Medicaid	NC

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.

Pathways to Life, Inc
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1003059668
NPD tax ID
Pathways to Life, Inc
- In Home Supportive Care Agency
- Greenville, NC
- NPI 1104692839
NPD tax ID
Pathways to Life, Inc
- Community/Behavioral Health Agency
- Selma, NC
- NPI 1114331147
NPD tax ID
Pathways to Life, Inc
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1285877852
NPD tax ID
Pathways to Life, Inc
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1376485730
NPD tax ID
Pathways to Life, Inc
- Counselor
- Greenville, NC
- NPI 1467695031
NPD tax ID
Pathways to Life, Inc
- Non-emergency Medical Transport (VAN)
- Greenville, NC
- NPI 1477495844
NPD tax ID
Pathways to Life, Inc
- Mental Illness Community Based Residential Treatment Facility
- Jacksonville, NC
- NPI 1609623727
NPD tax ID
Pathways to Life, Inc
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1811130487
NPD tax ID
Pathways to Life, Inc
- Clinical Social Worker
- Chicago, IL
- NPI 1194673335
NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1487956710",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "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": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-347-6455",
        "authorized_official_credential": "MS MFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006099",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302681Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303384V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303539F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302681R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302681",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303374V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303539V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908990",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354I",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303551H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303539A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303384",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303384F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301656H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303352G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303354F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303374",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303374A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303374H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303384H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303551",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303592R",
            "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.