Organization Active NPI

Renewed Pathways, LLC

  • Professional Counselor
  • Manchester, CT
National Provider Identifier
1639830334
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENEWED PATHWAYS, LLC
Practice address
117 E Center St
Manchester, CT 06040-5246
Phone
(860) 372-0752
NPI assigned
Jan 4, 2022
Last updated
Jan 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Jessica Leah Ware, LPCNPI 1528616505
Title
Clinician
Phone
(413) 250-5995

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

117 E Center St
Manchester, CT 06040-5246

Mailing address

200 John Olds Dr Apt 203
Manchester, CT 06042-8809
Phone (413) 250-5995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1639830334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOHN OLDS DR APT 203",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428809",
            "telephone_number": "413-250-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405246",
            "telephone_number": "860-372-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "413-250-5995",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.