Organization Active NPI

Pathways to Self-Reliance

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1235876988
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS TO SELF-RELIANCE
Practice address
8025 N Point Blvd Ste 283
Winston Salem, NC 27106-3860
Phone
(336) 920-1481
NPI assigned
May 15, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Crystal Shamar Graham, LCAS
Title
Ceo
Phone
(336) 920-1481

Specialties & licenses 1

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

Addresses

Primary practice location

8025 N Point Blvd Ste 283
Winston Salem, NC 27106-3860

Mailing address

8025 N Point Blvd Ste 283
Winston Salem, NC 27106-3860
Phone (336) 920-1481

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2266685Pathways to Self - Reliance, Inc8025 North Point Blvd, Ste 283, Winston Salem, NC 27106Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

8025 N Point Blvd
Ste 283
Winston Salem, NC 27106
Phone (336) 920-1481

Practitioners & affiliated clinicians

Practitioners 1

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": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1235876988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 283",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063860",
            "telephone_number": "336-920-1481",
            "fax_number": "336-245-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 283",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063860",
            "telephone_number": "336-920-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO SELF-RELIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "SHAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-920-1481",
        "authorized_official_credential": "LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.