Organization Active NPI

Pathways Psychotherapy, PLLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1972003077
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHWAYS PSYCHOTHERAPY, PLLC
Practice address
9313 Foxburrow CT
Raleigh, NC 27613-7505
Phone
(919) 219-6256
Fax
(919) 845-4805
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Authorized official

Name
Stephanie Dawn Phillips, MED., LPC, NCC, CCTPNPI 1225345689
Title
Owner
Phone
(919) 219-6256

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 NC Primary

Addresses

Primary practice location

9313 Foxburrow CT
Raleigh, NC 27613-7505

Mailing address

9313 Foxburrow CT
Raleigh, NC 27613-7505
Phone (919) 219-6256

Other identifiers 1

IdentifierTypeStateIssuer
12360850OtherNCBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1972003077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 FOXBURROW CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137505",
            "telephone_number": "919-219-6256",
            "fax_number": "919-845-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 FOXBURROW CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137505",
            "telephone_number": "919-219-6256",
            "fax_number": "919-845-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-219-6256",
        "authorized_official_credential": "MED., LPC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12360850",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.