OrganizationActive
Pathway Eclinic Sc
NPI 1679725352 · Mental Health Counselor · Wauwatosa, WI
Provider details
- NPI number
- 1679725352
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tracey Cornella- Carlson, Psychiatrist(414) 727-4455
- License
- 2605 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 N Mayfair Rd
Suite 425
Wauwatosa, WI 53226-1505
Phone: (414) 727-4455
Fax: (414) 727-4690
Street-level locationGet directions
Mailing address
2300 N Mayfair Rd
Wauwatosa, WI 53226-1505
Registry dates
- Enumerated
- 2008-10-14
- Last updated
- 2008-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.