Organization Active NPI

Illuminating Pathways LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lynchburg, OH
National Provider Identifier
1649096637
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ILLUMINATING PATHWAYS LLC
Practice address
3186 Sharpsville Rd
Lynchburg, OH 45142-9342
Phone
(937) 725-9708
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Robin Smalley, LPC
Title
Owner/ Administration/Provider
Phone
(937) 725-9708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3186 Sharpsville Rd
Lynchburg, OH 45142-9342

Mailing address

3186 Sharpsville Rd
Lynchburg, OH 45142-9342
Phone (937) 725-9708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1649096637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 SHARPSVILLE RD",
            "city": "LYNCHBURG",
            "state": "OH",
            "postal_code": "451429342",
            "telephone_number": "937-725-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 SHARPSVILLE RD",
            "city": "LYNCHBURG",
            "state": "OH",
            "postal_code": "451429342",
            "telephone_number": "937-725-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATING PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "SMALLEY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATION/PROVIDER",
        "authorized_official_telephone_number": "937-725-9708",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.