Jax Pathways LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

JAX PATHWAYS LLC

Practice address

1413 Idlewood Ave
Richmond, VA 23220-6003

Phone

(804) 399-0677

NPI assigned

Jul 9, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Decardra Jackson

Title

Ceo

Phone

(804) 399-0677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1689592156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 IDLEWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232206003",
            "telephone_number": "804-399-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 IDLEWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232206003",
            "telephone_number": "804-399-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAX PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DECARDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-399-0677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R. Paige DDS PC
• Rahul Jasti, MD MBBS
• Parisa Javidiparsijani, M.D
• Tia Javier, M.A. M.S. , CCC-SLP
• Gideon Javna, L.C.S.W.
• Deepthi Jayakumar
• Rajeswari Jayakumar, M.D
• Sreeja Jayakumar, FNP
• Archana Jayaram, M.D.
• Jayakumar Jayaraman, BDS, MDS, MS, PHD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Richmond, VA
• Providers in Richmond, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.