Active NPI
Pathwise Behavioral Health, LLC
- Clinical Social Worker
- Cottage Grove, OR
National Provider Identifier
1346186194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PATHWISE BEHAVIORAL HEALTH, LLC
- Practice address
- 609 E Main St Ste 106
Cottage Grove, OR 97424-2039 - Phone
- (402) 984-3004
- NPI assigned
- Apr 24, 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
- Cynthia Nesiba, LCSW
- Title
- Owner
- Phone
- (541) 315-5420
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
609 E Main St Ste 106
Cottage Grove, OR 97424-2039
Mailing address
609 E Main St Ste 106
Cottage Grove, OR 97424-2039
Phone (541) 315-5420
National Provider Directory
National Provider DirectoryLocations
609 E Main St
Ste 106
Cottage Grove, OR 97424
Phone (402) 984-3004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1346186194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 E MAIN ST STE 106",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242039",
"telephone_number": "541-315-5420",
"fax_number": "804-395-6043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E MAIN ST STE 106",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242039",
"telephone_number": "402-984-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWISE BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "NESIBA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-315-5420",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.