Organization Active NPI

Pathways Counseling and Development, LLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1730875329
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHWAYS COUNSELING AND DEVELOPMENT, LLC
Practice address
6475 Wall St Ste 150
Colorado Springs, CO 80918-8374
Phone
(719) 301-9580
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Mrs. Jordan L De Jong, LPCNPI 1912242470
Title
Owner
Phone
(571) 528-7402

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6475 Wall St Ste 150
Colorado Springs, CO 80918-8374

Mailing address

15875 Bridle Ridge Dr
Monument, CO 80132-6097
Phone (571) 528-7402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627001850 CO Part B Supplier - Clinic/Group Practice 1951814508 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado SPGS, CO

National Provider Directory

National Provider Directory

Locations

2950 Professional Pl
Ste 201
Colorado Springs, CO 80904
Phone (303) 656-0161

Practitioners & affiliated clinicians

Practitioners 2

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": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1730875329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15875 BRIDLE RIDGE DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801326097",
            "telephone_number": "571-528-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 WALL ST STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188374",
            "telephone_number": "719-301-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING AND DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "DE JONG",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-528-7402",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.