Active NPI
Pathways Community Clinic LLC
- Clinic/Center
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PATHWAYS COMMUNITY CLINIC LLC
- Practice address
- 1634 E Minnesota St
Indianapolis, IN 46203-2842 - Phone
- (317) 993-2473
- NPI assigned
- Jun 13, 2025
- 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
- Angel Bumphus, MBA
- Title
- Administrator
- Phone
- (317) 993-2473
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
1634 E Minnesota St
Indianapolis, IN 46203-2842
Mailing address
1634 E Minnesota St
Indianapolis, IN 46203-2842
Phone (317) 993-2473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2322910 | Pathways Community Clinic | Registration | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1634 E Minnesota St
Indianapolis, IN 46203
Phone (317) 993-2473
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Indianapolis, IN
- NPI 1275197188
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1720010341
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1770633034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1194611665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 E MINNESOTA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462032842",
"telephone_number": "317-993-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 E MINNESOTA ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462032842",
"telephone_number": "317-993-2473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS COMMUNITY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-13",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "BUMPHUS",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "317-993-2473",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.