NPIMap

Organization Active NPI

Pathways Mental Health Services

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1306004775
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHWAYS MENTAL HEALTH SERVICES
Practice address
436 McPhee Rd SW
Olympia, WA 98502-5014
Phone
(360) 799-5782
Fax
(360) 539-1715
NPI assigned
Jun 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Dr. Art Tolentino, PHD
Title
Clinical Director
Phone
(360) 799-5782

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LF00002685 WA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X LF00002685 WA

Addresses

Primary practice location

436 McPhee Rd SW
Olympia, WA 98502-5014

Mailing address

436 McPhee Rd SW
Olympia, WA 98502-5014
Phone (360) 799-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419001734 WA Part B Supplier - Clinic/Group Practice 5496053803 Receives reassigned benefits from 9 practitioners
Practice locations: Olympia, WA

National Provider Directory

National Provider Directory
Tax ID family
Pathways Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11468 Marketplace Dr N
Ste 6001284
Champlin, MN 55316

8795 SW Tualatin Sherwood Rd
Ste 1032
Tualatin, OR 97062

4804 Lacey Blvd SE
Ste A
Lacey, WA 98503
Phone (360) 799-0523

831 12th Ave
Longview, WA 98632
Phone (360) 575-9155

1430 16th Ave
Longview, WA 98632
Phone (360) 799-4556

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1306004775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 MCPHEE RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025014",
            "telephone_number": "360-799-5782",
            "fax_number": "360-539-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MCPHEE RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025014",
            "telephone_number": "360-799-5782",
            "fax_number": "360-539-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "360-799-5782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "LF00002685",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "LF00002685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.