Organization Active NPI

Clear Path Integrated Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
National Provider Identifier
1265123384
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CLEAR PATH INTEGRATED CLINIC
Practice address
5060 N 19TH Ave Ste 206
Phoenix, AZ 85015-3212
Phone
(480) 466-3852
NPI assigned
May 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Michel Gahakanyi
Title
Mr
Phone
(480) 466-3852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

5060 N 19TH Ave Ste 206
Phoenix, AZ 85015-3212

Mailing address

5060 N 19TH Ave Ste 206
Phoenix, AZ 85015-3212
Phone (480) 466-3852

Other names 1

  • Clear Path Integrated Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1265123384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-466-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-466-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH INTEGRATED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GAHAKANYI",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "MR",
        "authorized_official_telephone_number": "480-466-3852"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Path Integrated Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.