Organization Active NPI

Pathwise Counseling and Skills Center

  • Professional Counselor
  • Lafayette, CO
National Provider Identifier
1730613894
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4125 Issued in CO
Legal business name
PATHWISE COUNSELING AND SKILLS CENTER
Practice address
806 S Public Rd Ste 101
Lafayette, CO 80026-2198
Phone
(720) 355-4082
Fax
(720) 302-2671
NPI assigned
Apr 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Melissa Maris Fountain Jennings, MA MCJ LPC LACNPI 1942325170
Title
Owner/Clinician
Phone
(720) 355-4082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4125 CO Primary

Addresses

Primary practice location

806 S Public Rd Ste 101
Lafayette, CO 80026-2198

Mailing address

992 S 4TH Ave Ste 100-149
Brighton, CO 80601-6802
Phone (720) 355-4082

National Provider Directory

National Provider Directory

Locations

992 S 4th Ave
Ste 100149
Brighton, CO 80601

806 S Public Rd
Ste 2101
Lafayette, CO 80026

806 S Public Rd
Ste 101
Lafayette, CO 80026
Phone (720) 335-4082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1730613894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 S 4TH AVE STE 100-149",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806016802",
            "telephone_number": "720-355-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S PUBLIC RD STE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262198",
            "telephone_number": "720-355-4082",
            "fax_number": "720-302-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWISE COUNSELING AND SKILLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-16",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIS FOUNTAIN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "720-355-4082",
        "authorized_official_credential": "MA MCJ LPC LAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.