NPIMap

Organization Active NPI

Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
National Provider Identifier
1487683546
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PATHWAYS
Practice address
200 W Spring St
Marquette, MI 49855-4630
Phone
(906) 225-7210
NPI assigned
Jul 1, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Laura A Nelson
Title
Credentialing Coordinator
Phone
(906) 233-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 W Spring St
Marquette, MI 49855-4630

Mailing address

200 W Spring St
Marquette, MI 49855-4630
Phone (906) 225-7210

Other practice location 1

2500 7th Ave S Ste 100
Escanaba, MI 49829-1176
Phone (906) 233-1236

Other identifiers 1

IdentifierTypeStateIssuer
1724945MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040331000115 MI Part B Supplier - Clinic/Group Practice 4284626391 Receives reassigned benefits from 32 practitioners
Practice locations: Escanaba, MI; Marquette, MI; Munising, MI; Newberry, MI
O20040614000139 MI Part B Supplier - Clinic/Group Practice 4284626391 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Escanaba, MI; Newberry, MI; Munising, MI; Marquette, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1516 Sandpoint Rd
Munising, MI 49862
Phone (906) 228-8881

14126 County Road 428
Newberry, MI 49868
Phone (906) 233-1322

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1487683546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554630",
            "telephone_number": "906-225-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W SPRING ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554630",
            "telephone_number": "906-225-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 7th Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291176",
            "country_code": "US",
            "telephone_number": "906-233-1236",
            "fax_number": "906-233-1235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "906-233-1236"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1724945",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.