Active NPI
Clearpath Outpatient Clinic LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kent, WA
National Provider Identifier
1306738182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CLEARPATH OUTPATIENT CLINIC LLC
- Practice address
- 10920 SE 208TH St Ste 5
Kent, WA 98031-4024 - Phone
- (206) 566-8317
- NPI assigned
- Jul 16, 2025
- Last updated
- Feb 19, 2026
- 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
- Faduma Mohamed
- Title
- Ceo
- Phone
- (206) 566-8317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
10920 SE 208TH St Ste 5
Kent, WA 98031-4024
Mailing address
10920 SE 208TH St Ste 5
Kent, WA 98031-4024
National Provider Directory
National Provider DirectoryLocations
10920 SE 208th St
Ste 5
Kent, WA 98031
Phone (206) 566-8317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1306738182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 SE 208TH ST STE 5",
"city": "KENT",
"state": "WA",
"postal_code": "980314024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 SE 208TH ST STE 5",
"city": "KENT",
"state": "WA",
"postal_code": "980314024",
"telephone_number": "206-566-8317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARPATH OUTPATIENT CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-16",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "FADUMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-566-8317"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.