NPIMap

Organization Active NPI

Pathways for Change, LLC

  • Marriage & Family Therapist
  • Emmaus, PA
National Provider Identifier
1801181128
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF 000640 Issued in PA
Legal business name
PATHWAYS FOR CHANGE, LLC
Practice address
401 Chestnut St
Emmaus, PA 18049-2401
Phone
(610) 928-1097
Fax
(610) 928-7223
NPI assigned
Jun 15, 2011
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Jodi Merrill, LMFTNPI 1619112083
Title
Ceo
Phone
(610) 928-1097

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MF 000640 PA Primary

Addresses

Primary practice location

401 Chestnut St
Emmaus, PA 18049-2401

Mailing address

401 Chestnut St
Emmaus, PA 18049-2401
Phone (610) 928-1097

Other names 1

  • Jodi Merrill Other name

National Provider Directory

National Provider Directory

Locations

401 Chestnut St
Emmaus, PA 18049
Phone (610) 928-1097

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1801181128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492401",
            "telephone_number": "610-928-1097",
            "fax_number": "610-928-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492401",
            "telephone_number": "610-928-1097",
            "fax_number": "610-928-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS FOR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-928-1097",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF 000640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jodi Merrill",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jodi Merrill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.