NPIMap

Organization Active NPI

Pathways of Idaho, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1194438648
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS OF IDAHO, LLC
Practice address
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone
(208) 856-0466
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Lindsey Bowen
Title
Director of Admin Operations
Phone
(208) 856-0466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

545 N Benjamin LN Ste 185
Boise, ID 83704-9625

Mailing address

545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone (208) 856-0466

Other names 1

  • Clarvida Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ID_Inquiry@pathways.com
Other URL www.pathwaysofidaho.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Clarvida4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1194438648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-856-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-856-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2024-06-20",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN OPERATIONS",
        "authorized_official_telephone_number": "208-856-0466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ID_Inquiry@pathways.com",
            "affiliation": "N",
            "address_1": "545 N Benjamin Ln Ste 185",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.pathwaysofidaho.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "545 N Benjamin Ln Ste 185",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837049625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.