Active NPI
Unique Path Counseling, PLLC
- Clinical Social Worker
- Jonesboro, AR
National Provider Identifier
1508369067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2665-C
- Legal business name
- UNIQUE PATH COUNSELING, PLLC
- Practice address
- 2005 E Highland Dr Ste 212
Jonesboro, AR 72401-6191 - Phone
- (870) 882-1265
- NPI assigned
- Mar 12, 2018
- Last updated
- Mar 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mattie Yolanda Warren, LCSW, RPT-S
- Title
- Owner/Therapist
- Phone
- (870) 882-1265
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2665-C | AR | Primary |
Addresses
Primary practice location
2005 E Highland Dr Ste 212
Jonesboro, AR 72401-6191
Mailing address
1218 Walnut St
Jonesboro, AR 72401-3861
Phone (870) 882-1265
National Provider Directory
National Provider DirectoryLocations
2005 E Highland Dr
Ste 212
Jonesboro, AR 72401
Phone (870) 882-1265
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Jonesboro, AR
- NPI 1144497652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520812800000",
"number": "1508369067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 WALNUT ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013861",
"telephone_number": "870-882-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 E HIGHLAND DR STE 212",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016191",
"telephone_number": "870-882-1265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE PATH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-12",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "MATTIE",
"authorized_official_middle_name": "YOLANDA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "870-882-1265",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW, RPT-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2665-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
- Deborah Ulibarri, LPN
- Maryjoanne Chinyem Umeora, M.D
- Ahmed Muaaz Umer, MBBS
- Michael L Ungerank, DC
- Unified Medical Equipment Solutions, Inc. (Unified Medical Equipment Solutions Jonesboro)
- United Methodist Behavioral Health System, Inc
- United Methodist Behavioral Health Systems, Inc (Methodist Counseling Clinic)
- United Methodist Behavioral Hospital-Jonesboro, Inc (Methodist Children's Behavioral Hospital - Jonesboro)
- University of Arkansas for Medical Sciences (AHEC NE Family Practice Clinic)
- University of Arkansas for Medical Sciences
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.