Organization Active NPI

Pathways to You Mental Health Counseling and Consulting LLC

  • Adult Mental Health Clinic/Center
  • Minot, ND
National Provider Identifier
1609492628
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PATHWAYS TO YOU MENTAL HEALTH COUNSELING AND CONSULTING LLC
Practice address
509 5TH Ave NW
Minot, ND 58703-2219
Phone
(218) 760-8159
NPI assigned
Jun 25, 2020
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Eric NanceNPI 1659514651
Title
Owner
Phone
(218) 760-8159

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

509 5TH Ave NW
Minot, ND 58703-2219

Mailing address

509 5TH Ave NW
Minot, ND 58703-2219
Phone (218) 760-8159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210122002212 ND Part B Supplier - Clinic/Group Practice 9133533706 Receives reassigned benefits from 1 practitioner
Practice locations: Minot, ND
O20240419000060 MN Part B Supplier - Clinic/Group Practice 9133533706 Receives reassigned benefits from 1 practitioner
Practice locations: Bemidji, MN

National Provider Directory

National Provider Directory

Locations

522 Beltrami Ave NW
Ste 16
Bemidji, MN 56601
Phone (218) 209-8284

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1609492628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 5TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032219",
            "telephone_number": "218-760-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 5TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032219",
            "telephone_number": "218-760-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO YOU MENTAL HEALTH COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-760-8159"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.