Pathways to a Better Life, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATHWAYS TO A BETTER LIFE, LLC

Practice address

1102 W 1St Street
Waldo, WI 53093

Phone

(920) 894-1374

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Emily Judith Portschy, SAC-IT

Title

Substance Abuse Counselor

Phone

(920) 207-4986

Specialties & licenses 1

Addresses

Tax ID family

Pathways to a Better Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pathways to a Better Life, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Keil, WI
  • NPI 1932771441
  NPD tax ID

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1528630910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 RABE ROAD",
            "city": "KEIL",
            "state": "WI",
            "postal_code": "53042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 1ST STREET",
            "city": "WALDO",
            "state": "WI",
            "postal_code": "53093",
            "telephone_number": "920-894-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO A BETTER LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "PORTSCHY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "920-207-4986",
        "authorized_official_credential": "SAC-IT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Burri, APNP
• Countryside Therapy Service LLC
• Reid Hilbelink
• Tracy Lee Kriegel, RN
• Emily Portschy, CSAC
• Brenda Jean Roehrborn Dorau, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waldo, WI
• Providers in Waldo, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.