NPIMap

Organization Active NPI

Cardinal Path Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raton, NM
National Provider Identifier
1861037087
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CARDINAL PATH WELLNESS LLC
Practice address
411 1/2 S 3Rd St
Raton, NM 87740-8774
Phone
(575) 303-2260
Fax
(575) 303-4624
NPI assigned
Nov 12, 2019
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Ms. Sarah Rebecca Bales, LCSWNPI 1538660428
Title
Managing Clinician
Phone
(323) 480-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

411 1/2 S 3Rd St
Raton, NM 87740-8774

Mailing address

PO Box 1343
Raton, NM 87740-1343
Phone (323) 480-3710

Other practice location 1

106 Cook Ave Apt 2-B
Raton, NM 87740-3929
Phone (323) 480-3710

National Provider Directory

National Provider Directory

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1861037087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877401343",
            "telephone_number": "323-480-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 1/2 S 3RD ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877408774",
            "telephone_number": "575-303-2260",
            "fax_number": "575-303-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Cook Ave Apt 2-B",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "877403929",
            "country_code": "US",
            "telephone_number": "323-480-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDINAL PATH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGING CLINICIAN",
        "authorized_official_telephone_number": "323-480-3710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.