Organization Active NPI

Pathways...a Counseling and Learning Center, Inc.

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1598874133
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117375-3501 Issued in UT
Legal business name
PATHWAYS...A COUNSELING AND LEARNING CENTER, INC.
Practice address
1104 Ashton Ave
114
Salt Lake City, UT 84106-4504
Phone
(801) 558-8650
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Michael C Flowers, LCSW
Title
President
Phone
(801) 558-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 117375-3501 UT Primary

Addresses

Primary practice location

1104 Ashton Ave
114
Salt Lake City, UT 84106-4504

Mailing address

PO Box 9128
Salt Lake City, UT 84109-0128
Phone (801) 485-2674

Other identifiers 1

IdentifierTypeStateIssuer
788002288030MedicaidUT

National Provider Directory

National Provider Directory

Locations

1104 E Ashton Ave
Ste 114
Salt Lake City, UT 84106
Phone (801) 558-8650

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1598874133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841090128",
            "telephone_number": "801-485-2674",
            "fax_number": "801-485-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ASHTON AVE",
            "address_2": "114",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064504",
            "telephone_number": "801-558-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS...A COUNSELING AND LEARNING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-558-8650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "117375-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788002288030",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.