Active NPI
Pathways...a Counseling and Learning Center, Inc.
- Clinical Social Worker
- Salt Lake City, UT
National Provider Identifier
1598874133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117375-3501
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 788002288030 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.