Organization Active NPI

Gateway Medical & Mental Healthcare, LLC

Doing business as Gateway MMHC

  • Psychiatry Physician
  • Chesapeake, VA
National Provider Identifier
1245827070
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GATEWAY MEDICAL & MENTAL HEALTHCARE, LLC
Doing business as
Gateway MMHC
Practice address
4037 Taylor Rd Ste C
Chesapeake, VA 23321-5500
Phone
(757) 394-1135
Fax
(757) 774-8221
NPI assigned
Dec 28, 2020
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Mrs. Crystal J Jones, MSN, FNP-CNPI 1457898728
Title
Owner
Phone
(757) 769-4274

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X NU
Psychiatry Physician 2084P0800X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

4037 Taylor Rd Ste C
Chesapeake, VA 23321-5500

Mailing address

4037 Taylor Rd Ste C
Chesapeake, VA 23321-5500
Phone (757) 394-1135

Other names 1

  • Gateway MMHC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL URL Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112000244 VA Part B Supplier - Clinic/Group Practice 3173912144 Receives reassigned benefits from 3 practitioners
Practice locations: Chesapeake, VA; Suffolk, VA

National Provider Directory

National Provider Directory

Locations

4037 Taylor Rd
Ste C
Chesapeake, VA 23321
Phone (757) 394-1135

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1245827070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 TAYLOR RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215500",
            "telephone_number": "757-394-1135",
            "fax_number": "757-774-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 TAYLOR RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215500",
            "telephone_number": "757-394-1135",
            "fax_number": "757-774-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MEDICAL & MENTAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-769-4274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record exchanges",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1545 Crossways Blvd Ste 250",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233200218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gateway MMHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway MMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.