Pathways Counseling PLLC

Organization Active NPI Marriage & Family Therapist · Long Prairie, MN

NPI 1932931672 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1932931672
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
PATHWAYS COUNSELING PLLC
Practice address
15 1St Ave S Ste 2
Long Prairie, MN 56347-1453
Phone
(320) 732-3344
NPI assigned
Aug 19, 2024
Organization subpart
No

Authorized official

Name
Jennifer Oldenburg, MS, LMFT
Title
Owner
Phone
(320) 732-3344

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20241004000200 MN Part B Supplier - Clinic/Group Practice 3072044809 Receives reassigned benefits from 2 practitioners
Practice locations: Long Prairie, MN

National Provider Directory

Locations

15 1st Ave S
Ste 2
Long Prairie, MN 56347
Phone (320) 732-3344

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

15 1St Ave S Ste 2
Long Prairie, MN 56347-1453

Mailing address

15 1St Ave S Ste 2
Long Prairie, MN 56347-1453
Phone (320) 732-3344

Other providers in Long Prairie, MN

All providers in Long Prairie, MN · Marriage & Family Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.