Provider Demographics
NPI:1215714258
Name:MINDFUL PATHWAYS COUNSELING, PLLC
Entity type:Organization
Organization Name:MINDFUL PATHWAYS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:ROUSH
Authorized Official - Last Name:WESTPHAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:602-430-4578
Mailing Address - Street 1:558 E CASTLE PINES PKWY STE B4
Mailing Address - Street 2:#173
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108
Mailing Address - Country:US
Mailing Address - Phone:602-430-4578
Mailing Address - Fax:
Practice Address - Street 1:6200 S. SYRACUSE WAY
Practice Address - Street 2:SUITE 260
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:602-430-4578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLMFT-10249OtherCLINICIAN
COMFT.0002397OtherCLINICIAN