Organization Active NPI

Pathways Therapy Center

  • Counseling Psychologist
  • Tupelo, MS
National Provider Identifier
1811287428
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1188 Issued in MS
Legal business name
PATHWAYS THERAPY CENTER
Practice address
302 S Spring St
A/B
Tupelo, MS 38804-4853
Phone
(662) 840-2005
Fax
(662) 840-2107
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Rodney Lafayette Farrar, LPC, NCC, CADCII
Title
National Certified Counselor
Phone
(662) 321-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 1188 MS Primary

Addresses

Primary practice location

302 S Spring St
A/B
Tupelo, MS 38804-4853

Mailing address

302 S Spring St
A/B
Tupelo, MS 38804-4853
Phone (662) 840-2005

National Provider Directory

National Provider Directory

Locations

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1811287428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "address_2": "A/B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044853",
            "telephone_number": "662-840-2005",
            "fax_number": "662-840-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "address_2": "A/B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044853",
            "telephone_number": "662-840-2005",
            "fax_number": "662-840-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "NATIONAL CERTIFIED COUNSELOR",
        "authorized_official_telephone_number": "662-321-2329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC, CADCII"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MS",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.