Pathways Wellness Group, LLP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATHWAYS WELLNESS GROUP, LLP

Practice address

1335 Albair Rd
Caribou, ME 04736-4300

Phone

(207) 492-0903

Fax

(855) 553-6925

NPI assigned

Dec 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey H Frost, LCSW

Title

President

Phone

(207) 492-0903

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Travis C Durepo, LCPC CONDITIONAL

  • Counselor
  • Caribou, ME
  • NPI 1134470438
  NPD (past)

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1568120111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 ALBAIR RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364300",
            "telephone_number": "207-492-0903",
            "fax_number": "855-553-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 ALBAIR RD",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047364300",
            "telephone_number": "207-492-0903",
            "fax_number": "855-553-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS WELLNESS GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-492-0903",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CC5725",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravinder Panesar, M.D.
• Lindsay Paradis, PA-C
• Samantha Phyllis Paradis, FNP
• Joseph Annunzio Parisi, PHARMD, RPH
• Jayatillake S Pathiraja, MD
• Patricia Pelkey, MHRT-CSP
• Abigail Pelletier, MHRT-C, CADC
• Ellis D Pelletier, ATC
• Marthe E Pelletier, RD
• Sherry Pelletier, LCSW

• Mental Health Counselor in Caribou, ME
• Providers in Caribou, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.