Active NPI
Louis Gatewood, M.ED, MS, LPC
- Professional Counselor
- Columbia, MO
National Provider Identifier
1164874657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014013271
- Practice address
- 3103 Ballard Mill Dr
Columbia, MO 65203-1483 - Phone
- (573) 529-1391
- NPI assigned
- Jul 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2014013271 | MO | Primary |
Addresses
Primary practice location
3103 Ballard Mill Dr
Columbia, MO 65203-1483
Mailing address
3103 Ballard Mill Dr
Columbia, MO 65203-1483
Phone (573) 529-1391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625001703 | MO | Practitioner - Mental Health Counselor | 2264944248 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014013271 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky'S the Limit Counseling Services LLC | Current | Accepting new patients |
Locations
303 N Stadium Blvd
Columbia, MO 65203
Phone (314) 495-0619
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1164874657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 BALLARD MILL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031483",
"telephone_number": "573-529-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 BALLARD MILL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031483",
"telephone_number": "573-529-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATEWOOD",
"first_name": "LOUIS",
"credential": "M.ED, MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-07",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014013271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.