Active NPI
Inner Peace Pathways LLC
- Psychiatric/Mental Health Nurse Practitioner
- Oak Park, IL
National Provider Identifier
1356250369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INNER PEACE PATHWAYS LLC
- Practice address
- 1133 South Blvd Apt 901
Oak Park, IL 60302-4279 - Phone
- (201) 616-8181
- NPI assigned
- Sep 4, 2026
- Last updated
- Sep 4, 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
- Lavette Goodman Graham, PMHNP-BC
- Title
- Ceo
- Phone
- (201) 616-8181
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1133 South Blvd Apt 901
Oak Park, IL 60302-4279
Mailing address
7627 Lake St Ste 206
River Forest, IL 60305-1878
Phone (201) 616-8181
Other practice location 1
1733 N St NW
Washington, DC 20036-2801
Phone (201) 616-8181
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Oak Park, IL
- NPI 1740915677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1356250369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7627 LAKE ST STE 206",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051878",
"telephone_number": "201-616-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 SOUTH BLVD APT 901",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024279",
"telephone_number": "201-616-8181"
}
],
"practiceLocations": [
{
"address_1": "1733 N St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200362801",
"country_code": "US",
"telephone_number": "201-616-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INNER PEACE PATHWAYS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "GOODMAN GRAHAM",
"authorized_official_first_name": "LAVETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "201-616-8181",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
- Inadvance Medicine Associates PA (Passport Health)
- Inductor of Healing,Inc.
- Industrial Optical Service, Inc (Spex)
- Inner Child Counseling PLLC
- Inner Noori LLC
- Innovative Counseling Partners LLC
- Innovative Senior Care Home Health of Chicago, LLC (Apex Health and Rehab)
- Innovative Vascular and Therapeutics, PLLC
- Michael Inoshita
- Keri Inouye
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.