Organization Active NPI

Pathwise Behavioral Health, LLC

  • Clinical Social Worker
  • Cottage Grove, OR
National Provider Identifier
1346186194
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on May 4, 2026

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.