Pathos, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PATHOS, INC.

Practice address

1700 W Irving Park Rd
Suite 108
Chicago, IL 60613-2559

Phone

(773) 562-1388

Fax

(773) 435-1133

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Miss Laura Ann Jacob, MAAT, LCPC

Title

Art Therapist, Licensed Counselor

Phone

(773) 562-1388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881725919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132559",
            "telephone_number": "773-562-1388",
            "fax_number": "773-435-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132559",
            "telephone_number": "773-562-1388",
            "fax_number": "773-435-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ART THERAPIST, LICENSED COUNSELOR",
        "authorized_official_telephone_number": "773-562-1388",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MAAT, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pathology Physician Services, LTD
• Pathology Services Illinois, LTD
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• John Velukunnel Pathrose, APRN
• Venkat Manish Pathuri
• Pathway Health Services LLC
• Pathway to Peace NFP
• Pathways Academy for Special Education

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.