Organization Active NPI

Pathways to Wellness Minnesota LTD.

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1306260005
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PATHWAYS TO WELLNESS MINNESOTA LTD.
Practice address
1409 Willow St Ste 109
Minneapolis, MN 55403-2241
Phone
(612) 474-1700
Fax
(612) 474-1710
NPI assigned
Feb 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Ms. Jennifer Ann Baumgardner Barnes, MSW, LICSW, LCSWNPI 1184802621
Title
President and Provider
Phone
(612) 474-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X 1681 CO

Addresses

Primary practice location

1409 Willow St Ste 109
Minneapolis, MN 55403-2241

Mailing address

1409 Willow St Ste 109
Minneapolis, MN 55403-2241
Phone (612) 474-1700

Other identifiers 1

IdentifierTypeStateIssuer
9000152564MedicaidCO

Other names 1

  • Pathways to Wellness, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021001164 MN Part B Supplier - Clinic/Group Practice 2961634670 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

10 Boulder Crescent St
Ste 203B
Colorado Springs, CO 80903
Phone (719) 310-8492

1409 Willow St
Ste 109
Minneapolis, MN 55403
Phone (612) 474-1700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1306260005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 109",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032241",
            "telephone_number": "612-474-1700",
            "fax_number": "612-474-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 WILLOW ST STE 109",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032241",
            "telephone_number": "612-474-1700",
            "fax_number": "612-474-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO WELLNESS MINNESOTA LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER BARNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT AND PROVIDER",
        "authorized_official_telephone_number": "612-474-1700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000152564",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways to Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.