| Pathways Counseling Center, Inc. | |
|
1919 University Ave W Suite 6 Saint Paul MN 55104-3453 | |
| (651) 641-1555 | |
| (651) 641-0340 |
| Full Name | Pathways Counseling Center, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1919 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Lori Jean Borschke (OWNER - PROGRAM DIRECTOR) |
| Authorized Official Contact | 6516411555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling Center, Inc. 1919 University Ave W Suite 6 Saint Paul MN 55104-3453 Ph: (651) 641-1555 | Pathways Counseling Center, Inc. 1919 University Ave W Suite 6 Saint Paul MN 55104-3453 Ph: (651) 641-1555 |
| NPI Number | 1831220748 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/24/2007 |
| Medicare PECOS PAC ID | 0941669576 |
|---|---|
| Medicare Enrollment ID | O20230629002975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831220748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | LP1132 (Minnesota) | Primary |
| Provider Name | Paul M Novotny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609102870 PECOS PAC ID: 5092030148 Enrollment ID: I20150807014567 |
| Provider Name | Jennifer L Reddig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285202242 PECOS PAC ID: 6305205303 Enrollment ID: I20230710000941 |
| Provider Name | John Clarence Voneschen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780924993 PECOS PAC ID: 3274984349 Enrollment ID: I20240112003203 |
| Provider Name | Jessica Raye Maeyaert Fowler |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538880497 PECOS PAC ID: 1658714274 Enrollment ID: I20240209002921 |
| Provider Name | Ava Elizabeth Grover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912695461 PECOS PAC ID: 5698118263 Enrollment ID: I20240211000053 |
| Provider Name | Naomi Marie Rath-nesvacil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982485090 PECOS PAC ID: 1254778871 Enrollment ID: I20240319001346 |
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