Organization Active NPI

Gateway Community Services

  • Addiction (Substance Use Disorder) Counselor
  • Great Falls, MT
National Provider Identifier
1184736324
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
227 Issued in MT
Legal business name
GATEWAY COMMUNITY SERVICES
Practice address
26 4TH St N
Great Falls, MT 59401-3106
Phone
(406) 727-2512
NPI assigned
Aug 31, 2006
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Jennifer K Hayworth
Title
Patient Accounts/ Billings
Phone
(406) 727-2512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 227 MT Primary

Addresses

Primary practice location

26 4TH St N
Great Falls, MT 59401-3106

Mailing address

26 4TH St N
Great Falls, MT 59401-3106
Phone (406) 727-2512

Other identifiers 2

IdentifierTypeStateIssuer
075111OtherMTBLUE CROSS/BLUE SHIELD
0320034MedicaidMT

Other names 1

  • GATEWAY RECOVERY CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Gateway Community Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1184736324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 4TH ST N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013106",
            "telephone_number": "406-727-2512",
            "fax_number": "406-727-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 4TH ST N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013106",
            "telephone_number": "406-727-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "HAYWORTH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS/ BILLINGS",
        "authorized_official_telephone_number": "406-727-2512"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "075111",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320034",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATEWAY RECOVERY CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GATEWAY RECOVERY CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.