New Path Counseling Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEW PATH COUNSELING CENTER LLC

Practice address

15896 Mackenzie Manor Dr
Haymarket, VA 20169-4994

Phone

(703) 986-9211

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Pedro Jose Rivera, PSYD

Title

Ceo

Phone

(318) 730-4705

Specialties & licenses 1

Addresses

Other names 1

• New Path Counseling Center Doing business as

Practitioners 1

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

• Pedro Rivera Santana, PSY.D.

  • Clinical Psychologist
  • Fort Belvoir, VA
  • NPI 1942226725
  NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1831895986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15896 MACKENZIE MANOR DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694994",
            "telephone_number": "703-986-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15896 MACKENZIE MANOR DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201694994",
            "telephone_number": "703-986-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATH COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-730-4705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Path Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vivian Nangoyi Nakawala, NP
• Meae Nam
• Christi Nelson
• CHI M Nguyen
• Kimberly C Nicastro, PA
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC
• NMG Affiliate Practice I, LLC

• All providers in Haymarket, VA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.