Organization Active NPI

Unique Path Counseling, PLLC

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1508369067
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2665-C Issued in AR
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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-SNPI 1144497652
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.