Organization Active NPI

Paths to Recovery Mental Health Counseling PLLC

  • Mental Health Counselor
  • Baldwinsville, NY
National Provider Identifier
1922613801
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHS TO RECOVERY MENTAL HEALTH COUNSELING PLLC
Practice address
52 Oswego St Ste 5
Baldwinsville, NY 13027-2447
Phone
(315) 719-7117
Fax
(315) 282-2540
NPI assigned
Sep 9, 2020
Last updated
Sep 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Tracy E Carmody, LMHCNPI 1770856502
Title
Executive Director
Phone
(315) 719-7117

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

52 Oswego St Ste 5
Baldwinsville, NY 13027-2447

Mailing address

52 Oswego St Ste 5
Baldwinsville, NY 13027-2447
Phone (315) 719-7117

Other practice location 1

112 DeWitt St Ste 205A
Syracuse, NY 13203-2892
Phone (315) 719-7117

National Provider Directory

National Provider Directory

Locations

52 Oswego St
Ste 5
Baldwinsville, NY 13027
Phone (315) 719-7117

112 Dewitt St
Ste 205A
Syracuse, NY 13203
Phone (315) 450-2925

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1922613801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 OSWEGO ST STE 5",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272447",
            "telephone_number": "315-719-7117",
            "fax_number": "315-282-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 OSWEGO ST STE 5",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272447",
            "telephone_number": "315-719-7117",
            "fax_number": "315-282-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 DeWitt St Ste 205A",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032892",
            "country_code": "US",
            "telephone_number": "315-719-7117",
            "fax_number": "315-282-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHS TO RECOVERY MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-719-7117",
        "authorized_official_credential": "LMHC"
    },
    "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 Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.