Organization Active NPI

Pathway Recovery

  • Peer Specialist
  • Minneapolis, MN
National Provider Identifier
1538027321
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
PATHWAY RECOVERY
Practice address
3254 Stinson Blvd
Minneapolis, MN 55418-2340
Phone
(612) 670-4849
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Kaleab Tewodros Woldegiorgis, CPRS-F
Title
Founder/Operator
Phone
(612) 670-4849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

3254 Stinson Blvd
Minneapolis, MN 55418-2340

Mailing address

3254 Stinson Blvd
Minneapolis, MN 55418-2340
Phone (612) 670-4849

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1538027321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 STINSON BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182340",
            "telephone_number": "612-670-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3254 STINSON BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554182340",
            "telephone_number": "612-670-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "WOLDEGIORGIS",
        "authorized_official_first_name": "KALEAB",
        "authorized_official_middle_name": "TEWODROS",
        "authorized_official_title_or_position": "FOUNDER/OPERATOR",
        "authorized_official_telephone_number": "612-670-4849",
        "authorized_official_credential": "CPRS-F"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.