NPIMap

Organization Active NPI

Gateway Counseling Incorporated

  • Mental Health Counselor
  • Avon, IN
National Provider Identifier
1154847424
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000854A Issued in IN
Legal business name
GATEWAY COUNSELING INCORPORATED
Practice address
7114 Galen Dr W Ste 103
Avon, IN 46123-8659
Phone
(317) 590-6139
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Douglas Colgrove, MS, LSW
Title
President
Phone
(317) 590-6139

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 39000854A IN Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 39002164A IN
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X 33003053A IN

Addresses

Primary practice location

7114 Galen Dr W Ste 103
Avon, IN 46123-8659

Mailing address

8103 E US Highway 36 # 243
Avon, IN 46123-7964

Other practice location 1

6745 Gray Rd Ste C
Indianapolis, IN 46237-3236
Phone (317) 590-6139

National Provider Directory

National Provider Directory

Locations

7114 Galen Dr W
Ste 109
Avon, IN 46123
Phone (317) 421-7626

7114 Galen Dr W
Ste 103
Avon, IN 46123
Phone (317) 590-6139

6745 Gray Rd
Ste C
Indianapolis, IN 46237
Phone (317) 345-4489

Practitioners & affiliated clinicians

Practitioners 2

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": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154847424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 E US HIGHWAY 36 # 243",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 GALEN DR W STE 103",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238659",
            "telephone_number": "317-590-6139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 Gray Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462373236",
            "country_code": "US",
            "telephone_number": "317-590-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GATEWAY COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COLGROVE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-590-6139",
        "authorized_official_credential": "MS, LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39000854A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002164A",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "IN",
            "license": "33003053A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.