NPIMap

Organization Active NPI

Pathways Counseling Center Inc.

  • Clinical Social Worker
  • Pompton Lakes, NJ
National Provider Identifier
1497050009
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1114-05-04 Issued in NJ
Legal business name
PATHWAYS COUNSELING CENTER INC.
Practice address
16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone
(973) 835-6337
Fax
(973) 616-4688
NPI assigned
Jan 13, 2011
Organization subpart
Yes
Parent organization
PATHWAYS COUNSELING CENTER INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Ms. Peg Buczek
Title
Office Manager
Phone
(973) 835-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 1114-05-04 NJ Primary

Addresses

Primary practice location

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Mailing address

16 Pompton Ave
Pompton Lakes, NJ 07442-1895
Phone (973) 835-6337

Other identifiers 2

IdentifierTypeStateIssuer
0063681OtherMEDICARE PTAN 66460
0063681MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Pathways Counseling Ctr Inc3 organizations share this tax ID, including this one
Part of
Pathways Counseling Ctr Inc

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1497050009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-6337",
            "fax_number": "973-616-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS COUNSELING CENTER INC.",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "BUCZEK",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-835-6337",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "1114-05-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN 66460",
            "identifier": "0063681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063681",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.