Organization Active NPI

Pathways - Child and Family Services - LLC

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1992114490
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS - CHILD AND FAMILY SERVICES - LLC
Practice address
1164 63Rd Ave NE
Salem, OR 97317-2313
Phone
(503) 871-2020
Fax
(503) 581-6016
NPI assigned
Aug 8, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Carol Ann Adams, LCSWNPI 1649498262
Title
Provider / Owner
Phone
(503) 871-2020

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 1

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

Addresses

Primary practice location

1164 63Rd Ave NE
Salem, OR 97317-2313

Mailing address

1164 63Rd Ave NE
Salem, OR 97317-2313
Phone (503) 871-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141121002319 OR Part B Supplier - Clinic/Group Practice 2062734379 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

1230 Fairview Ave SE
Salem, OR 97302
Phone (503) 871-2020

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": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1992114490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 63RD AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973172313",
            "telephone_number": "503-871-2020",
            "fax_number": "503-581-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 63RD AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973172313",
            "telephone_number": "503-871-2020",
            "fax_number": "503-581-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS - CHILD AND FAMILY SERVICES - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER / OWNER",
        "authorized_official_telephone_number": "503-871-2020",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.