Willow Path Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E3870 Issued in OH

Legal business name

WILLOW PATH COUNSELING, LLC

Practice address

4100 Central Ave
Shadyside, OH 43947-1210

Phone

(304) 280-9798

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Jamie Lynn Roberts, LPCC

Title

Owner

Phone

(304) 280-9798

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1720320591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471210",
            "telephone_number": "304-280-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-280-9798",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E3870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497907208",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Shadyside, OH
• Providers in Shadyside, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.