Pathway Autism Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PATHWAY AUTISM CENTER

Practice address

2104 Park Ave Ste 8
Minneapolis, MN 55404-6607

Phone

(612) 501-6277

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Nimo Ahmed

Title

Ceo

Phone

(612) 501-6277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1588448591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE STE 8",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "612-501-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PARK AVE STE 8",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554046607",
            "telephone_number": "612-501-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "NIMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-501-6277"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.