NPIMap

Organization Active NPI

Creative Pathways Counseling LLC

  • Mental Health Counselor
  • Bangor, PA
National Provider Identifier
1922025964
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CREATIVE PATHWAYS COUNSELING LLC
Practice address
6 Broadway
Bangor, PA 18013-2602
Phone
(610) 588-0744
Fax
(610) 588-8944
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mr. Andrew M Rachlin
Title
Business Manager
Phone
(610) 588-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6 Broadway
Bangor, PA 18013-2602

Mailing address

6 Broadway
Bangor, PA 18013-2602
Phone (610) 588-0744

National Provider Directory

National Provider Directory

Locations

6 Broadway
Bangor, PA 18013
Phone (610) 588-0744

Practitioners & affiliated clinicians

Practitioners 7

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1922025964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BROADWAY",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132602",
            "telephone_number": "610-588-0744",
            "fax_number": "610-588-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BROADWAY",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132602",
            "telephone_number": "610-588-0744",
            "fax_number": "610-588-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PATHWAYS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "RACHLIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-588-0744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.