NPIMap

Organization Active NPI

Pathways Counseling Center II LLC

Doing business as Pathways Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
National Provider Identifier
1942490438
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PATHWAYS COUNSELING CENTER II LLC
Doing business as
Pathways Counseling Center
Practice address
11121 W Oklahoma Ave
West Allis, WI 53227-4033
Phone
(262) 641-9790
Fax
(262) 641-9791
NPI assigned
Jul 31, 2007
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Ryan Stahl-Sussek
Title
Billing Specialist
Phone
(262) 754-5921

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1730 WI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X 1730 WI
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1730 WI

Addresses

Primary practice location

11121 W Oklahoma Ave
West Allis, WI 53227-4033

Mailing address

11121 W Oklahoma Ave
West Allis, WI 53227-4033
Phone (262) 641-9790

Other identifiers 1

IdentifierTypeStateIssuer
42227700MedicaidWI

Other names 1

  • Pathways Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000444 WI Part B Supplier - Clinic/Group Practice 7315970969 Receives reassigned benefits from 11 practitioners
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Locations

13105 W Bluemound Rd
Ste 100
Brookfield, WI 53005
Phone (262) 641-9790

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1942490438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 W OKLAHOMA AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274033",
            "telephone_number": "262-641-9790",
            "fax_number": "262-641-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 W OKLAHOMA AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532274033",
            "telephone_number": "262-641-9790",
            "fax_number": "262-641-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COUNSELING CENTER II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "STAHL-SUSSEK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "262-754-5921"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1730",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "1730",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "1730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42227700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.

Verify at the official NPI Registry.