Organization Active NPI

PJG and Associates

  • Clinic/Center
  • Davenport, IA
National Provider Identifier
1992593933
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PJG AND ASSOCIATES
Practice address
4422 W Locust St Apt A1
Davenport, IA 52804-3000
Phone
(515) 519-2090
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Authorized official

Name
Ms. Patty Gibbs, MSED, LMHC, LPC, NCCNPI 1750782850
Title
Ceo
Phone
(563) 949-9122

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4422 W Locust St Apt A1
Davenport, IA 52804-3000

Mailing address

4117 N Linwood Ave
Davenport, IA 52806-4935

Other names 1

  • Positive Pathways To Healing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819001224 IA Part B Supplier - Clinic/Group Practice 7618476409 Receives reassigned benefits from 1 practitioner
Practice locations: Davenport, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
PJG and Associates2 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.

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": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1992593933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N LINWOOD AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 W LOCUST ST APT A1",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528043000",
            "telephone_number": "515-519-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJG AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-949-9122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED, LMHC, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Pathways To Healing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Positive Pathways To Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.