Organization Active NPI

Pathways to Freedom

  • Substance Abuse Rehabilitation Facility
  • Bismarck, ND
National Provider Identifier
1679697668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1181 Issued in ND
Legal business name
PATHWAYS TO FREEDOM
Practice address
208 E Main Ave
Bismarck, ND 58501-3848
Phone
(701) 426-6308
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Katie C Olson
Title
Owner
Phone
(701) 426-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1181 ND Primary

Addresses

Primary practice location

208 E Main Ave
Bismarck, ND 58501-3848

Mailing address

208 E Main Ave
Bismarck, ND 58501-3848
Phone (701) 426-6308

Other identifiers 5

IdentifierTypeStateIssuer
27175OtherNDBCBSND PROVIDER NUMBER
98915OtherNDBCBSND PROVIDER NUMBER
6853001OtherNDBCBSND CLINIC NUMBER
1181OtherNDFACILITY LICENSURE
98916OtherNDBCBSND PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

208 E Main Ave
Bismarck, ND 58501
Phone (701) 426-6308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679697668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013848",
            "telephone_number": "701-426-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013848",
            "telephone_number": "701-426-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-426-6308"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ND",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND PROVIDER NUMBER",
            "identifier": "27175",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND PROVIDER NUMBER",
            "identifier": "98915",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND CLINIC NUMBER",
            "identifier": "6853001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSURE",
            "identifier": "1181",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND PROVIDER NUMBER",
            "identifier": "98916",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.