Pathfinder Support Service, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

P658 Issued in NE

Legal business name

PATHFINDER SUPPORT SERVICE, INC

Practice address

212 E 8TH St
Fremont, NE 60825

Phone

(402) 721-1414

Fax

(412) 753-9914

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Douglas Watson, MED

Title

Executive Director

Phone

(402) 721-1414

Specialties & licenses 1

Addresses

Tax ID family

Pathfinder Support Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pathfinder Support Service

  • Clinical Social Worker
  • Fremont, NE
  • NPI 1275717464
  NPD tax ID

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1972767101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E 8TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "60825",
            "telephone_number": "402-721-1414",
            "fax_number": "412-753-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 8TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "60825",
            "telephone_number": "402-721-1414",
            "fax_number": "412-753-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER SUPPORT SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-721-1414",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Lyn Parsons
• William Paschall, P.T.
• Pathfinder Aid Opco LLC
• Pathfinder Support Service
• Pathfinder Support Service
• Pathfinder Support Services, Inc.
• Patient First Testing
• Patient First Testing
• Arun-Angelo Patil, MD
• Jacquelynn L Paugels

• Addiction (Substance Use Disorder) Counselor in Fremont, NE
• Providers in Fremont, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.