Evergreen Pathways, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EVERGREEN PATHWAYS, LLC

Practice address

2900 Park Ave Apt 3
Minneapolis, MN 55407-1362

Phone

(763) 340-5049

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

Abdirizak Ahmed Jama

Title

Manager

Phone

(763) 340-5049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1588490874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PARK AVE APT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PARK AVE APT 3",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071362",
            "telephone_number": "763-340-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "ABDIRIZAK",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-340-5049"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Evenson
• Sandra Evenson, RN
• Everbloom Institute LLC
• Everest Healthcare Inc
• Spaulding F Everett, MD
• Albert Charles Everling, LPCC
• Cynthia Everling
• Evernorth Care Providers - Delaware PA
• Kaya Evers, PHARM D
• Kimberly Morse Evers, APRN, CNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

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