NPIMap

Organization Active NPI

The Shepherds New Pathways, LLC

Doing business as Pathways Group Counseling Center

  • Professional Counselor
  • Georgetown, TX
National Provider Identifier
1841813003
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE SHEPHERDS NEW PATHWAYS, LLC
Doing business as
Pathways Group Counseling Center
Practice address
3003 Dawn Dr Ste 101
Georgetown, TX 78628-2800
Phone
(254) 228-5830
Fax
(254) 598-2537
NPI assigned
May 22, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE SHEPHERD'S NEW PATHWAYSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Charles Thielepape
Title
Owner
Phone
(254) 228-5830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3003 Dawn Dr Ste 101
Georgetown, TX 78628-2800

Mailing address

5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone (254) 228-5830

Other practice location 1

5293 S 31st St Ste 137
Temple, TX 76502-3575
Phone (254) 228-5830

Other identifiers 2

IdentifierTypeStateIssuer
1356779706OtherTXNPI
409273601MedicaidTX

Other names 1

  • Pathways Group Counseling Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pathwaysgroupcc.com The Shepherds New Pathways, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909000758 TX Part B Supplier - Clinic/Group Practice 6901135557 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Park, TX; Georgetown, TX; Temple, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Shphrds New Pthwys LLC2 organizations share this tax ID, including this one
Part of
The Shphrds New Pthwys LLC

Other organizations with this tax ID 1

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

Locations

921 W New Hope Dr
Ste 504
Cedar Park, TX 78613
Phone (512) 688-4303

5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830

9121 Adams Ln
Ste 100
Temple, TX 76502
Phone (254) 228-5830

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1841813003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5293 S 31ST ST STE 137",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023575",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 DAWN DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282800",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5293 S 31st St Ste 137",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765023575",
            "country_code": "US",
            "telephone_number": "254-228-5830",
            "fax_number": "254-598-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SHEPHERDS NEW PATHWAYS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SHEPHERD'S NEW PATHWAYS",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "THIELEPAPE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-228-5830"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356779706",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409273601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pathwaysgroupcc.com",
            "affiliation": "Y",
            "affiliationName": "The Shepherds New Pathways, LLC",
            "address_1": "5293 S 31st St Ste 137",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765023575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pathways Group Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.