Organization Active NPI

Pathways Mentorship

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1366270779
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS MENTORSHIP
Practice address
1350 N Town Center Dr Unit 1032
Las Vegas, NV 89144-0577
Phone
(702) 718-7992
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Latonya Miller, PSYMNPI 1588343693
Title
Applied Psychologist
Phone
(725) 251-1377

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
Community/Behavioral Health Agency 251S00000X Primary
Secured Medical Transport (VAN) 343800000X

Addresses

Primary practice location

1350 N Town Center Dr Unit 1032
Las Vegas, NV 89144-0577

Mailing address

720 Claxton Ave
N Las Vegas, NV 89084-1250
Phone (702) 718-7992

Other identifiers 1

IdentifierTypeStateIssuer
15974566MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1366270779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CLAXTON AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890841250",
            "telephone_number": "702-718-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N TOWN CENTER DR UNIT 1032",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440577",
            "telephone_number": "702-718-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS MENTORSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "APPLIED PSYCHOLOGIST",
        "authorized_official_telephone_number": "725-251-1377",
        "authorized_official_credential": "PSYM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15974566",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.