Divine Pathways LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE PATHWAYS LLC

Practice address

428 Enterprise Dr
Somerset, KY 42501-6155

Phone

(606) 875-0812

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Shane Hansen, M.EDNPI 1023586088

Title

Owner/Executive Director

Phone

(606) 875-0812

Specialties & licenses 1

Addresses

Other names 1

• Divine Pathways LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Hansen, M.ED

  • Behavior Analyst
  • Somerset, KY
  • NPI 1023586088
  NPD Authorized official

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1194447300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 WIND CHIME DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033821",
            "telephone_number": "606-875-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-875-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-875-0812",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Pathways LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Chelsea Lynn Dishman, CSW
• Cynthia Jean Dishman, LCSW
• Diana Dishman
• Lee Anne Dishman, MASTER OF ARTS
• Christopher Disimile, CRNA
• Blake Dixon, DO
• Jason Dixon, APRN
• Jennifer Darlene Dixon, RN, CDCES
• Jonathan Barry Dixon, M.D.
• Valerie Shaelyn Eversole Dixon, DO

• Community/Behavioral Health Agency in Somerset, KY
• Providers in Somerset, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.