Active NPI
Gateway Community Services
- Addiction (Substance Use Disorder) Counselor
- Great Falls, MT
National Provider Identifier
1184736324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 227
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075111 | Other | MT | BLUE CROSS/BLUE SHIELD |
| 0320034 | Medicaid | MT |
Other names 1
- GATEWAY RECOVERY CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Community Services
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Great Falls, MT
- NPI 1033651419
-
dba Gateway Community Services-Thompson Falls
- Substance Use Disorder Rehabilitation Clinic/Center
- Thompson Falls, MT
- NPI 1124689971
-
dba Gateway Community Services-Thompson Falls
- Community/Behavioral Health Agency
- Thompson Falls, MT
- NPI 1487215216
-
dba Gateway Community Services- Kalispell
- Community/Behavioral Health Agency
- Kalispell, MT
- NPI 1871153817
-
dba Gateway Community Services- Libby
- Substance Use Disorder Rehabilitation Clinic/Center
- Libby, MT
- NPI 1912567967
-
- Community/Behavioral Health Agency
- Great Falls, MT
- NPI 1538413836
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.