Organization Active NPI

Gateway Counseling

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1255914222
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GATEWAY COUNSELING
Practice address
18901 8TH Ave NE
Poulsbo, WA 98370-7349
Phone
(360) 779-5515
NPI assigned
Apr 28, 2021
Organization subpart
Yes
Parent organization
GATEWAY FELLOWSHIP OF POULSBOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Mario White, LMHCNPI 1568913317
Title
Counseling Pastor
Phone
(360) 779-5515

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

18901 8TH Ave NE
Poulsbo, WA 98370-7349

Mailing address

18901 8TH Ave NE
Poulsbo, WA 98370-7349
Phone (360) 779-5515

National Provider Directory

National Provider Directory
Part of
Gateway Counseling

Locations

18901 8th Ave NE
Poulsbo, WA 98370
Phone (360) 394-4158

Practitioners & affiliated clinicians

Practitioners 1

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": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1255914222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707349",
            "telephone_number": "360-779-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707349",
            "telephone_number": "360-779-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY FELLOWSHIP OF POULSBO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "COUNSELING PASTOR",
        "authorized_official_telephone_number": "360-779-5515",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.