Country Pathways PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15127 Issued in TX

Legal business name

COUNTRY PATHWAYS PLLC

Practice address

108 Wain Dr Ste B
Longview, TX 75604-1231

Phone

(903) 850-6334

Fax

(903) 236-8510

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Deborah Chelette Wilson, LPCNPI 1730173253

Title

Sole Member

Phone

(903) 365-2198

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country Pathways PLLC Doing business as

Locations

Practitioners 1

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

• Deborah Chelette - Wilson, LPC

  • Professional Counselor
  • Longview, TX
  • NPI 1730173253
  NPD Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1902079437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 LIVINGSTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013724",
            "telephone_number": "903-850-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WAIN DR STE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756041231",
            "telephone_number": "903-850-6334",
            "fax_number": "903-236-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY PATHWAYS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "CHELETTE WILSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "903-365-2198",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028036401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Pathways PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Country Pathways PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Corbitt, LPC
• Core Health Systems
• Cortney Barton, LPC, PLLC
• James Alcot Cotton, D.D.S.
• Thomas Smith Cotton, DDS
• Antoinesha Trenae Cox, LVN
• Chelsea Tennille Cox, RD, LD, CDCES
• John William Cox, CRNA
• Renita Cox, DDS
• CR Martin M D P a

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

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