Active NPI
Pathways of Idaho, LLC
Doing business as Clarvida
- Peer Specialist
- Boise, ID
National Provider Identifier
1285347898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Legal business name
- PATHWAYS OF IDAHO, LLC
- Doing business as
- Clarvida
- Practice address
- 545 N Benjamin LN Ste 185
Boise, ID 83704-9625 - Phone
- (208) 322-1026
- Fax
- (208) 322-1029
- NPI assigned
- Dec 28, 2022
- Last updated
- Jun 20, 2024
- 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
- Lindsey Bowen
- Title
- Director of Admin Ops
- Phone
- (208) 856-0466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Mailing address
545 N Benjamin LN Ste 185
Boise, ID 83704-9625
Phone (208) 322-1026
Other practice location 1
204 10th Ave S
Nampa, ID 83651-3832
Phone (208) 466-2229
Other practice location 2
1305 S Kimball Ave
Caldwell, ID 83605-4542
Phone (208) 459-1039
Other practice location 3
540 S 16th St Ste 118
Payette, ID 83661-3514
Phone (208) 642-5079
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ID05400 | Other | ID | MEDICARE PIN |
| 20004720 | Other | ID | MEDICIAD |
Other names 1
- Clarvida
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ID_Inquiry@pathways.com | ||
| CONNECT URL | www.pathwaysofidaho.com | Direct | |
| CONNECT URL | www.pathwaysofidaho.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Clarvida
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1285347898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N BENJAMIN LN STE 185",
"city": "BOISE",
"state": "ID",
"postal_code": "837049625",
"telephone_number": "208-322-1026",
"fax_number": "208-322-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N BENJAMIN LN STE 185",
"city": "BOISE",
"state": "ID",
"postal_code": "837049625",
"telephone_number": "208-322-1026",
"fax_number": "208-322-1029"
}
],
"practiceLocations": [
{
"address_1": "204 10th Ave S",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836513832",
"country_code": "US",
"telephone_number": "208-466-2229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1305 S Kimball Ave",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836054542",
"country_code": "US",
"telephone_number": "208-459-1039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 S 16th St Ste 118",
"address_purpose": "LOCATION",
"city": "Payette",
"state": "ID",
"postal_code": "836613514",
"country_code": "US",
"telephone_number": "208-642-5079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PATHWAYS OF IDAHO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2024-06-20",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "DIRECTOR OF ADMIN OPS",
"authorized_official_telephone_number": "208-856-0466"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "ID05400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICIAD",
"identifier": "20004720",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ID_Inquiry@pathways.com",
"affiliation": "N",
"address_1": "545 N Benjamin Ln Ste 185",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837049625",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.pathwaysofidaho.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "545 N Benjamin Ln Ste 185",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837049625",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.pathwaysofidaho.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "545 N Benjamin Ln Ste 185",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837049625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Clarvida",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Clarvida",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.