Pathway to Peace Psychotherapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATHWAY TO PEACE PSYCHOTHERAPY PLLC

Practice address

10000 N 31St Ave Ste D214
Phoenix, AZ 85051-2001

Phone

(574) 612-5164

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Sapp, LPCNPI 1063727857

Title

Owner

Phone

(574) 612-5164

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• James Sapp, MSW

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1063727857
  NPD (past) Authorized official
• Jacob Rundall, LCSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1205421229
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1710683289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N PARADISE VILLAGE PKWY S APT 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327676",
            "telephone_number": "574-612-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE D214",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850512001",
            "telephone_number": "574-612-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO PEACE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-612-5164",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.