| Mountain Pathways Counseling, Pllc | |
|
18 Peachtree St Marion NC 28752-3065 | |
| (828) 520-2328 | |
| Not Available |
| Full Name | Mountain Pathways Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 18 Peachtree St, Marion, North Carolina |
| Authorized Official Name and Position | Lisa Ripperton (OFFICE MANAGER) |
| Authorized Official Contact | 9842229610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Pathways Counseling, Pllc Po Box 382 Marion NC 28752-0382 Ph: (828) 520-2328 | Mountain Pathways Counseling, Pllc 18 Peachtree St Marion NC 28752-3065 Ph: (828) 520-2328 |
| NPI Number | 1083207195 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Medicare PECOS PAC ID | 6103234919 |
|---|---|
| Medicare Enrollment ID | O20210415002287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083207195 | NPI | - | NPPES |
| 6007926 | Medicaid | NC | |
| 183TM | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 1700926648 | Other | NC | UNITED HEALTH CARE |
| 1700936648 | Other | NC | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Anne Ripperton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700936648 PECOS PAC ID: 3476716622 Enrollment ID: I20120525000161 |
| Provider Name | Tristan Wayne Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508411026 PECOS PAC ID: 9830574698 Enrollment ID: I20220914001680 |
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