NPIMap

Organization Active NPI

Pathways Counseling Center, Inc.

  • Rehabilitation Psychologist
  • Saint Paul, MN
National Provider Identifier
1831220748
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
LP1132 Issued in MN
Legal business name
PATHWAYS COUNSELING CENTER, INC.
Practice address
1919 University Ave W
Suite 6
Saint Paul, MN 55104-3453
Phone
(651) 641-1555
Fax
(651) 641-0340
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Ms. Lori Jean Borschke
Title
Owner - Program Director
Phone
(651) 641-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X LP1132 MN Primary

Addresses

Primary practice location

1919 University Ave W
Suite 6
Saint Paul, MN 55104-3453

Mailing address

1919 University Ave W
Suite 6
Saint Paul, MN 55104-3453
Phone (651) 641-1555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629002975 MN Part B Supplier - Clinic/Group Practice 0941669576 Receives reassigned benefits from 7 practitioners
Practice locations: St Paul, MN

National Provider Directory

National Provider Directory
Tax ID family
Pathways Counseling Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1831220748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "SUITE 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-641-1555",
            "fax_number": "651-641-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "address_2": "SUITE 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043453",
            "telephone_number": "651-641-1555",
            "fax_number": "651-641-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "BORSCHKE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER - PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-641-1555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "MN",
            "license": "LP1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.