Organization Active NPI

Right Path Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1184925281
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIGHT PATH BEHAVIORAL HEALTH SERVICES LLC
Practice address
3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432
Phone
(904) 765-0665
Fax
(904) 765-0664
NPI assigned
Nov 5, 2010
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Samantha Patterson
Title
Billing Manager
Phone
(904) 765-0665

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Case Management Agency 251B00000X FL
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432

Mailing address

3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432
Phone (904) 765-0665

Other identifiers 1

IdentifierTypeStateIssuer
120935200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211206000739 FL Part B Supplier - Clinic/Group Practice 0941508428 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
Practice locations: Pensacola, FL; Tampa, FL; Orlando, FL; Jacksonville, FL; Ft Lauderdale, FL; Boca Raton, FL; Bay Harbor Islands, FL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1184925281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE STE 1104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186432",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 DUNN AVE STE 1104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186432",
            "telephone_number": "904-765-0665",
            "fax_number": "904-765-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHT PATH BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2024-04-19",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-765-0665"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120935200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.