Active NPI
Healing Path Therapy P.C.
- Clinical Social Worker
- Pittsboro, IN
National Provider Identifier
1689360356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEALING PATH THERAPY P.C.
- Practice address
- 1731 E County Road 600 N
Pittsboro, IN 46167-9011 - Phone
- (317) 316-9733
- NPI assigned
- Apr 14, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Chanda Elaine Boyden-Deidrick, MSW, LCSW, LISW
- Title
- Owner/Mental Health Clinician
- Phone
- (317) 316-9733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Pittsboro, IN
- NPI 1629774286
Clinical
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1731 E County Road 600 N
Pittsboro, IN 46167-9011
Mailing address
1731 E County Road 600 N
Pittsboro, IN 46167-9011
Phone (317) 938-8517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2023.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1689360356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 E COUNTY ROAD 600 N",
"city": "PITTSBORO",
"state": "IN",
"postal_code": "461679011",
"telephone_number": "317-938-8517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 E COUNTY ROAD 600 N",
"city": "PITTSBORO",
"state": "IN",
"postal_code": "461679011",
"telephone_number": "317-316-9733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING PATH THERAPY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "BOYDEN-DEIDRICK",
"authorized_official_first_name": "CHANDA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/MENTAL HEALTH CLINICIAN",
"authorized_official_telephone_number": "317-316-9733",
"authorized_official_credential": "MSW, LCSW, LISW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsboro, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.