Active NPI
Pathways Mentorship
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1366270779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latonya Miller, PSYM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15974566 | Medicaid | NV |
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.
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1588343693
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.