Adam Lee Gatzke

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8441 Wayzata Blvd Ste 160
Golden Valley, MN 55426-1367

Phone

(763) 566-0088

Fax

(763) 566-0089

NPI assigned

May 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healing Waters Recovery CounselingGroup PAC ID 3779086293, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healing Waters Recovery Counseling

  • Community/Behavioral Health Agency
  • Bloomington, MN
  • NPI 1881046258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1053670059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NATHAN LN N APT 351",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416490",
            "telephone_number": "952-412-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 160",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261367",
            "telephone_number": "763-566-0088",
            "fax_number": "763-566-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZKE",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xaarki Ann Gamerdinger, DPT
• Viraj V Gandhi, RPH
• Tina Marie Gapen, P.T.
• Jenna Gardner
• Eowyn Gatlin-Nygaard
• Jenny Lynn Gau, PHARM.D.
• Jenneh Kotay Gbehan, DNP-FNP
• Andrea Gerladine Geib, PA-C
• Genoa Healthcare LLC
• Kaitlyn Gerber, OT

• Mental Health Counselor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.