NPIMap

Organization Active NPI

Pathways Counseling & Consulting Services, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1609172337
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5542 Issued in FL
Legal business name
PATHWAYS COUNSELING & CONSULTING SERVICES, INC.
Practice address
9521 Shellie Rd
Suite #15
Jacksonville, FL 32257-6158
Phone
(904) 619-3010
Fax
(904) 619-3233
NPI assigned
Jan 27, 2011
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Susan Lewis
Title
Office Manager
Phone
(904) 619-3010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH5542 FL Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW1539 FL

Addresses

Primary practice location

9521 Shellie Rd
Suite #15
Jacksonville, FL 32257-6158

Mailing address

9521 Shellie Rd
Suite #15
Jacksonville, FL 32257-6158
Phone (904) 619-3010

National Provider Directory

National Provider Directory

Locations

9521 Shellie Rd
Ste 15
Jacksonville, FL 32257
Phone (904) 316-0747

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1609172337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD",
            "address_2": "SUITE #15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576158",
            "telephone_number": "904-619-3010",
            "fax_number": "904-619-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 SHELLIE RD",
            "address_2": "SUITE #15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576158",
            "telephone_number": "904-619-3010",
            "fax_number": "904-619-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING & CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-619-3010"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5542",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.