NPIMap

Organization Active NPI

Clear Paths Inc

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, OR
National Provider Identifier
1184633141
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACCBO970482 Issued in OR
Legal business name
CLEAR PATHS INC
Practice address
171 SW Court
Dallas, OR 97338
Phone
(503) 831-1423
Fax
(503) 831-1573
NPI assigned
Aug 7, 2006
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara La Vine
Title
Human Resources Generalist
Phone
(503) 363-2021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X ACCBO970482 OR Primary

Addresses

Primary practice location

171 SW Court
Dallas, OR 97338

Mailing address

3793 River Rd N
Keizer, OR 97303-4827
Phone (503) 304-7002

National Provider Directory

National Provider Directory

Locations

171 SW Court St
Dallas, OR 97338
Phone (503) 831-1423

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1184633141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034827",
            "telephone_number": "503-304-7002",
            "fax_number": "503-304-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SW COURT",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "97338",
            "telephone_number": "503-831-1423",
            "fax_number": "503-831-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATHS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "LA VINE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "HUMAN RESOURCES GENERALIST",
        "authorized_official_telephone_number": "503-363-2021"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "ACCBO970482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.