Organization Active NPI

The Extra Pass Mentoring, LLC

  • Developmentally Disabled Services Day Training Agency
  • Hobart, WI
National Provider Identifier
1275400368
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE EXTRA PASS MENTORING, LLC
Practice address
740 Centerline Dr
Hobart, WI 54155-9249
Phone
(920) 313-0209
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Mr. Leslie Boyce
Title
Owner/Director
Phone
(920) 313-0209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

740 Centerline Dr
Hobart, WI 54155-9249

Mailing address

3021 E River Dr
Allouez, WI 54301-1405
Phone (920) 313-0209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1275400368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 E RIVER DR",
            "city": "ALLOUEZ",
            "state": "WI",
            "postal_code": "543011405",
            "telephone_number": "920-313-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 CENTERLINE DR",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "541559249",
            "telephone_number": "920-313-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXTRA PASS MENTORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "920-313-0209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.