Organization Active NPI

Light Paths Counseling LLC

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1861906547
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIGHT PATHS COUNSELING LLC
Practice address
27 Congress St Ste 305-03
Salem, MA 01970-5510
Phone
(978) 594-3669
NPI assigned
Nov 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Tatiana Sloutsky, LICSWNPI 1043458706
Title
Sole Owner
Phone
(978) 594-3669

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

27 Congress St Ste 305-03
Salem, MA 01970-5510

Mailing address

27 Congress St Ste 305-03
Salem, MA 01970-5510
Phone (978) 594-3669

Other practice location 1

27 Congress St Ste 305-03
Salem, MA 01970-5510
Phone (978) 335-7148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180209000085 MA Part B Supplier - Clinic/Group Practice 2062772106 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, MA

National Provider Directory

National Provider Directory

Locations

27 Congress St
Ste 30503
Salem, MA 01970
Phone (978) 335-7148

Practitioners & affiliated clinicians

Practitioners 1

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": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1861906547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 305-03",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705510",
            "telephone_number": "978-594-3669",
            "fax_number": "978-594-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST STE 305-03",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705510",
            "telephone_number": "978-594-3669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Congress St Ste 305-03",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019705510",
            "country_code": "US",
            "telephone_number": "978-335-7148",
            "fax_number": "978-594-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIGHT PATHS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SLOUTSKY",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "978-594-3669",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.