Organization Active NPI

Onyx Pathways, LLC

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1750161295
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ONYX PATHWAYS, LLC
Practice address
12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347
Phone
(952) 856-0405
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Authorized official

Name
Sierra Nicole Carter, LICSWNPI 1134815640
Title
Owner
Phone
(952) 856-0405

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347

Mailing address

12800 Whitewater Dr Ste 100
Minnetonka, MN 55343-9347
Phone (952) 856-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709003947 MN Part B Supplier - Clinic/Group Practice 1254876709 Receives reassigned benefits from 1 practitioner
Practice locations: Eden Prairie, MN; Wayzata, MN

National Provider Directory

National Provider Directory

Locations

6542 Regency Ln
Ste 109
Eden Prairie, MN 55344
Phone (952) 592-3405

901 Twelve Oaks Center Dr
Ste 902
Wayzata, MN 55391
Phone (952) 592-3405

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": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710028800000",
    "number": "1750161295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347",
            "telephone_number": "952-856-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 WHITEWATER DR STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439347",
            "telephone_number": "952-856-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONYX PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SIERRA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-856-0405",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.