Organization Active NPI

Open Gate Counseling Service, LLC

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1124745054
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OPEN GATE COUNSELING SERVICE, LLC
Practice address
1201 E 7TH St Ste 202
Pueblo, CO 81001-3506
Phone
(719) 744-2326
NPI assigned
Oct 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Karen C Khaton, LPCNPI 1932524394
Title
Owner/Therapist
Phone
(719) 744-2326

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1201 E 7TH St Ste 202
Pueblo, CO 81001-3506

Mailing address

1201 E 7TH St Ste 202
Pueblo, CO 81001-3506
Phone (719) 744-2326

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL opengatecounseling.org Direct
CONNECT URL opengatecounseling.org Direct
CONNECT URL opengatecounseling.org Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211000524 CO Part B Supplier - Clinic/Group Practice 2860928009 Receives reassigned benefits from 1 practitioner
5 other NPIs on this enrollment
Practice locations: Pueblo, CO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Open Gate Counseling Service LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 E 7th St
Ste 202
Pueblo, CO 81001
Phone (719) 744-2326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1124745054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 7TH ST STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810013506",
            "telephone_number": "719-744-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E 7TH ST STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810013506",
            "telephone_number": "719-744-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN GATE COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "KHATON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-744-2326",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opengatecounseling.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All",
            "address_1": "1201 E 7th St Ste 202",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810013506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opengatecounseling.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all",
            "address_1": "1201 E 7th St Ste 202",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810013506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opengatecounseling.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1201 E 7th St Ste 202",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810013506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.