NPIMap

Organization Active NPI

Pathways Community Support of Texas, Inc.

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1982773396
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS COMMUNITY SUPPORT OF TEXAS, INC.
Practice address
1524 S Ih-35
Suite 210
Austin, TX 78704
Phone
(512) 343-8606
Fax
(512) 343-8620
NPI assigned
Nov 7, 2006
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS HEALTH AND COMMUNITY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Richard Wallace
Title
State Director
Phone
(512) 343-8606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X TX Primary

Addresses

Primary practice location

1524 S Ih-35
Suite 210
Austin, TX 78704

Mailing address

1524 Ih-35 South
Suite 210
Austin, TX 78704
Phone (512) 343-8606

Other identifiers 3

IdentifierTypeStateIssuer
155583101MedicaidTX
152232801MedicaidTX
153227701MedicaidTX

National Provider Directory

National Provider Directory
Part of
Camelot Care Centers LLC

Locations

8625 King George Dr
Ste 111
Dallas, TX 75235
Phone (214) 631-7002

4110 Rio Bravo St
Ste 100
El Paso, TX 79902
Phone (512) 343-8606

2718 Wesley St
Ste C
Greenville, TX 75401
Phone (903) 348-3788

8500 Village Dr
Ste 300
San Antonio, TX 78217
Phone (210) 821-5311

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1982773396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 IH-35 SOUTH",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-343-8606",
            "fax_number": "512-343-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S IH-35",
            "address_2": "SUITE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-343-8606",
            "fax_number": "512-343-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS COMMUNITY SUPPORT OF TEXAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HEALTH AND COMMUNITY SERVICES, LLC",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "512-343-8606"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155583101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152232801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153227701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.