Active NPI
Channeled Paths, Inc.
- Professional Counselor
- Martinez, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- CHANNELED PATHS, INC.
- Practice address
- 4434 Columbia Road
Ste 205
Martinez, GA 30907 - Phone
- (706) 830-7204
- Fax
- (706) 910-0537
- NPI assigned
- Oct 27, 2023
- Last updated
- Oct 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cheryl Ann Carswell, LPC
- Title
- Ceo
- Phone
- (706) 830-7204
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
4434 Columbia Road
Ste 205
Martinez, GA 30907
Mailing address
4434 Columbia Road
Ste 205
Martinez, GA 30907
Phone (706) 830-7204
Other names 1
- Channeled Paths, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4434 Columbia Rd
Ste 203
Martinez, GA 30907
Phone (706) 305-3137
4434 Columbia Rd
Ste 205
Martinez, GA 30907
Phone (706) 910-0537
1702 Alice St
Waycross, GA 31501
Phone (912) 289-5804
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Professional Counselor
- Martinez, GA
- NPI 1497805758
-
- Mental Health Counselor
- Martinez, GA
- NPI 1831456607
-
- Professional Counselor
- Augusta, GA
- NPI 1437784501
-
- Professional Counselor
- Martinez, GA
- NPI 1336039353
-
- Mental Health Counselor
- Augusta, GA
- NPI 1487524872
-
- Social Worker
- Martinez, GA
- NPI 1760226864
-
- Professional Counselor
- Martinez, GA
- NPI 1942500152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1922870385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4434 COLUMBIA ROAD",
"address_2": "STE 205",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-830-7204",
"fax_number": "706-910-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4434 COLUMBIA ROAD",
"address_2": "STE 205",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-830-7204",
"fax_number": "706-910-0537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANNELED PATHS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A",
"authorized_official_last_name": "CARSWELL",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-830-7204",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Channeled Paths, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.