Organization Active NPI

Pathways Therapuetic Counseling Services, LLC

  • Social Worker
  • Newington, CT
National Provider Identifier
1700253168
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7859 Issued in CT
Legal business name
PATHWAYS THERAPUETIC COUNSELING SERVICES, LLC
Practice address
1268 Main St
Suite 106
Newington, CT 06111-3038
Phone
(860) 402-6731
Fax
(860) 785-8925
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Laura Gubbins, LCSW
Title
Owner
Phone
(860) 402-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 7859 CT Primary

Addresses

Primary practice location

1268 Main St
Suite 106
Newington, CT 06111-3038

Mailing address

1268 Main St
Suite 106
Newington, CT 06111-3038
Phone (860) 402-6731

Other identifiers 1

IdentifierTypeStateIssuer
008037098MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1700253168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST",
            "address_2": "SUITE 106",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-402-6731",
            "fax_number": "860-785-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 MAIN ST",
            "address_2": "SUITE 106",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113038",
            "telephone_number": "860-402-6731",
            "fax_number": "860-785-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS THERAPUETIC COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "GUBBINS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-402-6731",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "CT",
            "license": "7859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037098",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.