Organization Active NPI

Pathfinder Clinic

  • Counselor
  • Durango, CO
National Provider Identifier
1629223292
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1417-00 Issued in CO
Legal business name
PATHFINDER CLINIC
Practice address
3473 Main Ave Ste 23
Durango, CO 81301-4040
Phone
(970) 259-6588
Fax
(970) 259-6567
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Ms. Marta Martinez-Evans, MS, CAC III
Title
Program Director
Phone
(970) 259-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1417-00 CO Primary

Addresses

Primary practice location

3473 Main Ave Ste 23
Durango, CO 81301-4040

Mailing address

3473 Main Ave Ste 23
Durango, CO 81301-4040
Phone (970) 259-6588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1629223292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 MAIN AVE STE 23",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014040",
            "telephone_number": "970-259-6588",
            "fax_number": "970-259-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 MAIN AVE STE 23",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014040",
            "telephone_number": "970-259-6588",
            "fax_number": "970-259-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-EVANS",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "970-259-6588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CAC III"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "1417-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.