Portage Path Behavioral health – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1225087802

Portage Path Behavioral health is a healthcare provider. based in Akron, Ohio. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for Portage Path Behavioral health is 1225087802

Main info

Organization
Name
Portage Path Behavioral health
NPI
1225087802
Phone
(330) 253-3100
Address
340 S BROADWAY ST
Authorized Official
MRS. TRACY YAEGER PRESIDENT PHD
Enumeration Date
9 May 2006
Last Update Date
6 January 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Portage Path Behavioral health

  • 340, South Broadway Street, Downtown, Cascade Valley, Akron, Summit County, Ohio, 44308, United States

    AKRON, OH 443081529

    Phone: (330) 253-3100

    Fax: (330) 253-5248

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (830 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031230000716OClinic/Group PracticeOH2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44308)

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Reviews

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Frequently asked questions

Where can patients find Portage Path Behavioral health's NPI?
You can confirm Portage Path Behavioral health with NPI 1225087802; it appears in the national provider directory.
Does this profile mean Portage Path Behavioral health is currently active?
Yes — Portage Path Behavioral health appears active in the national provider directory.
What field does Portage Path Behavioral health work in?
You can think of Portage Path Behavioral health as practicing within Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Where does public data place Portage Path Behavioral health?
The snapshot lists Akron, Ohio for Portage Path Behavioral health; download NPPES for the complete set.
Is Portage Path Behavioral health a real provider?
This page reflects official NPPES data for NPI 1225087802. Always confirm identity and privileges with the practice and licensing boards.

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