NPIMap

Organization Active NPI

Original Path Counseling, LLC

  • Professional Counselor
  • Centennial, CO
National Provider Identifier
1578064994
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ORIGINAL PATH COUNSELING, LLC
Practice address
6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone
(720) 735-7444
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Authorized official

Name
Amanda HorakNPI 1871835801
Title
Owner/ LPC
Phone
(720) 725-7444

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469

Mailing address

6551 S Revere Pkwy Ste 160
Centennial, CO 80111-6469
Phone (720) 735-7444

Other practice location 1

6551 S Revere Pkwy Ste 255
Centennial, CO 80111-6471
Phone (720) 335-5572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405000164 CO Part B Supplier - Clinic/Group Practice 1557709839 Receives reassigned benefits from 5 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

6551 S Revere Pkwy
Ste 160
Centennial, CO 80111
Phone (720) 335-7444

6551 S Revere Pkwy
Ste 255
Centennial, CO 80111
Phone (720) 335-5572

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1578064994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116469",
            "telephone_number": "720-735-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 160",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116469",
            "telephone_number": "720-735-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 S Revere Pkwy Ste 255",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801116471",
            "country_code": "US",
            "telephone_number": "720-335-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORIGINAL PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2024-03-31",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "HORAK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/ LPC",
        "authorized_official_telephone_number": "720-725-7444"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.