NPIMap

Organization Active NPI

Safe Pathways Counseling Inc

  • Mental Health Counselor
  • Dallas, PA
National Provider Identifier
1548048903
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAFE PATHWAYS COUNSELING INC
Practice address
1172 Twin Stacks Dr
Dallas, PA 18612-8505
Phone
(570) 674-1505
Fax
(570) 674-8679
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Dr. Marie C Gray, PHD, LPC, FAAETS,NPI 1265679997
Title
Ceo
Phone
(570) 674-1505

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1172 Twin Stacks Dr
Dallas, PA 18612-8505

Mailing address

PO Box 427
Dallas, PA 18612-0427
Phone (570) 674-1505

Other names 1

  • Cornerstone Counseling and Consulting Specialists LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240322002746 PA Part B Supplier - Clinic/Group Practice 4981041134 Receives reassigned benefits from 2 practitioners
Practice locations: Dallas, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1548048903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186120427",
            "telephone_number": "570-674-1505",
            "fax_number": "570-674-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 TWIN STACKS DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186128505",
            "telephone_number": "570-674-1505",
            "fax_number": "570-674-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PATHWAYS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-674-1505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, FAAETS,"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Counseling and Consulting Specialists LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.