Active NPI
KBX Pathways to Wellness LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raleigh, NC
National Provider Identifier
1174466999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KBX PATHWAYS TO WELLNESS LLC
- Practice address
- 4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857 - Phone
- (919) 539-8762
- NPI assigned
- Apr 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keni Church-Hines, LCMHC
- Title
- Clinical Director
- Phone
- (984) 385-2650
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Mailing address
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone (919) 539-8762
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Durham, NC
- NPI 1316583214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1174466999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVE STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123857",
"telephone_number": "919-539-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 GLENWOOD AVE STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123857",
"telephone_number": "919-539-8762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KBX PATHWAYS TO WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-14",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "CHURCH-HINES",
"authorized_official_first_name": "KENI",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "984-385-2650",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.